Editor's ChoiceAcademic JournalMain Category: Nursing / MidwiferyAlso Included In: Seniors / AgingArticle Date: 01 Dec 2011 - 8:00 PST email to a friend printer friendly opinions According to a study published online in advance of imitation publication in Health Services Research, a largest for-profit nursing homes in a nation broach considerably reduce peculiarity of caring as they often have fewer staff nurses compared with non-profit as good as government-owned nursing homes. The study, led by University of California, San Francisco (UCSF), of caring during nursing homes around a nation, is a first to focus usually on staffing as good as peculiarity during a 10 largest for-profit chains. First author Charlene Harrington, RN, PhD, highbrow emeritus of sociology as good as nursing during a UCSF School of Nursing. Harrington additionally is director of a UCSF National Center for Personal Assistance Services, explained: "Poor peculiarity of caring is endemic in many nursing homes, though we found that a most serious problems occur in a largest for-profit chains. The top 10 bondage have a plan of gripping work costs low to increase profits. They have been not making peculiarity a priority."It is believed that low nurse staffing levels have been a strongest predictor of poor nursing home quality. In a U.S., a 10 largest for-profit bondage run approximately 2,000 nursing homes, controlling around 13% of nursing home beds in a nation. Nursing home bondage have undergone a significant expansion in recent decades. Several bondage were publicly-traded companies until a early 2000s, when 5 of a largest bondage in a nation went bankrupt. The largest nursing home bondage became some-more financially stable after increases in Medicare payments as good as restructuring as good as tenure changes. More recently, in isolation equity investment firms, which invest funds received from investors, with whom they share increase as good as losses, purchased some of a largest publicly held chains. In order to measure peculiarity of care, a investigators compared facility deficiencies as good as staffing levels during for-profit bondage to those during nursing caring homes operated by 5 other tenure groups. The researchers selected a 10 largest bondage as they have been a most successful in terms of growth as good as market share as good as they have been influential in a nursing home industry. The team celebrated that for-profit nursing caring homes target to keep their expenses down by shortening staffing, especially RN staffing. Harrington, stated: "Recent Medicare cuts in payment rates for nursing home residents - by 11 percent in October, 2011 - may further jeopardize a health as good as safety of residents if a bondage respond by shortening staffing as good as wages."In 2008, a 10 largest for-profit nursing home bondage were:HCR Manor Care Life Care Centers of America Golden Living Genesis HealthCare Corporation Kindred Healthcare SavaSeniorCare, LLC Sun Health Care Group, Inc. National Health Care Corporation Skilled HealthCare, LLC Extendicare Health Services, Inc. From 2003 to 2008, for-profit bondage had fewer nurse "staffing hours" compared to non-profit as good as supervision nursing homes when controlling for other factors. Collectively, total for-profit nursing hours were 30% reduce than supervision as good as non-profit nursing homes, as good as these companies additionally had a sickest residents. Furthermore, a top nursing home bondage were significantly below a national average for RN as good as total nurse staffing, as good as below a minimum nurse staffing advised by experts. Compared with a best nursing homes, a 10 largest for-profit bondage were cited for 41% some-more serious deficiencies as good as 36% some-more deficiencies. Deficiencies include failure to prevent:falls infections resident weight loss pressure sores poor sanitary conditions resident mistreatment as good as other issues that could considerably harm residents In addition, a investigation discovered that a four largest for-profit bondage had some-more deficiencies after being purchased by in isolation equity companies between 2003 as good as 2008. This investigation is a first to join forces with poor caring after purchase by in isolation equity companies. According to a researchers, some-more studies should be carried out. They state that greater accountability as good as peculiarity oversight mechanisms would assistance enhance nursing home care, together with effective appropriation incentives as good as sanctions for low staffing as good as poor quality. Written by Grace RattueCopyright: Medical News TodayNot to be reproduced without permission of Medical News TodayAdditional References Citations Health Services Research Source: University of California, San Francisco (UCSF) Please make use of one of a following formats to cite this article in your essay, paper or report:MLAAPAPlease note: If no author report is provided, a source is cited instead. Please note that we publish your name, though we do not publish your email address. It is usually used to let you know when your summary is published. We do not make use of it for any other purpose. Please see the remoteness process for some-more information. 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