Nursing homes provide an environment where skilled nurses give aid to individuals that cannot attain the care tasks by themselves 24 hours a day. The major difference between the nonprofit and for-profit nursing care homes is the former does not have financial obligations, for instance, the federal income and property taxes. For-profit nursing homes are possessed mainly by the private investors or the shareholders who are seen as part of a specific organization that sold out its shares so that they can meet the needs of expansion and additional services to the facility ( You, Intrator, Stevenson, Hirth, Grabowski & Banaszak-Holl, 2016).
Merits and Demerits of nonprofit over for-profit nursing homes
Di Giorgio, Filippini, and Masiero, (2015) in over fifty research studies concerning nursing homes, made a comparison and analysis of diverse selections of performance, which includes the economic performance, how the patients of nonprofit nursing homes could access the care and quality of care. The authors supposedly indicated that the nonprofit organizations showed a better outcome within the different dimensions. Additionally, the specific authors indicated that the forprofit nursing homes were being run at relatively low costs and also very efficient than their nonprofit nursing homes; nonprofit nursing homes have been seen to have very quality care services. It is also evident that the for-profit companies of nursing care delegate very few decision-making powers to their employees, provision of more incentives but with very little fringe benefits, and at the same time less monitoring of patients.
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Profitability status and Quality of Care
Nonprofit nursing homes provide very high-quality care from the process-based and also outcome-based circumstances. For-profit and nonprofit nursing care homes have been served with audit deficiency citations based on the inappropriate use of the restraint use; however, there are indicators that there is the high employment of restraints for the for-profit nursing homes. For-profit nursing homes were also found to have elevated used of the inappropriate psychoactive drugs. The conducted research found out that the reason as to why there are lower staffing rates in for-profit nursing homes is because there are detrimental outcomes for the residents. However, there was increased rates of inappropriate use of the restraints accrue to higher morbidity and mortality rates in the for-profit nursing care homes ( Ronald, McGregor, Harrington, Pollock & Lexchin, 2016) .
Staffing levels
The employees that are there in the for-profit and nonprofit nursing care homes are a big indicator or predictor of the type of quality of care to patients that will be given. The type of quality of care being provided is very important and depends on the staff that is there to ensure that it happens. The for-profit nursing care homes have maintained the labor minimum costs for the reason of making more profits for their organizations but compromising the quality of care to the patients. A comparison of the nursing staffing and quality deviancies between the for-profit care homes and nonprofit indicated that there was very few retired staff for the former rather than the latter. The nurse staffs that are there in a nonprofit organization also work for very long hours as compared to those in the for-profit companies ( Gozalo, Plotzke, Mor, Miller & Teno, 2015) .
Recommendations for for-profit nursing homes
It is obvious from the research conducted that the nonprofit nursing homes are prioritizing quality of care for their patient than for their for-profit nursing homes. Financial aspects have contributed greatly to the type of care being delivered to the patient in both organizations. The for-profit organizations have proved to have more advantage over nonprofit nursing homes because they are getting more resources than their counterparts. It is recommended that the U.S health system implications should be taken very seriously especially when following the for-profit nursing homes so that they can do away with the inappropriate billing trends that are there for the for-profit nursing home.
For instance, shareholders in the for-profit organizations such as the Centers for Medicare and also the Medicaid Services (CMS) are recommended to take a lot of precautions. When monitoring the payments that are being made in the for-profit nursing homes or facilities, there should be an increment of the monitoring of the RUGS for the for-profit organizations, and there should also be regular follow-ups especially for the for-profit homes that have been noted producing some questionable billings. Medicare and Medicaid Services should reconsider a change or modification in the methods that are being used in consideration of the determination of the therapy required so that they can get a correct form of payment. Additional recommendations include Medicare, and Medicaid Services can tighten up their forms of fraud prevention systems, they should also recommend compliances that will be leveled at new therapy assessments while at the same time conducting more assessments in any claim made to for-profit organizations.
Conclusion
There are a lot of strengths and weaknesses in consideration of the financial stability but maintaining quality care in both the for-profit, nonprofit nursing homes. The non-profit nursing homes are producing better outcomes when it comes to the quality of care as compared to their for-profit nursing homes.
References
Di Giorgio, L., Filippini, M., & Masiero, G. (2015). Structural and managerial cost differences in nonprofit nursing homes. Economic Modelling , 51 , 289-298. Retrieved https://pdfs.semanticscholar.org/2e0a/28720ee67006f9b053d662b01a81b0fd58cd.pdf
Gozalo, P., Plotzke, M., Mor, V., Miller, S. C., & Teno, J. M. (2015). Changes in Medicare costs with the growth of hospice care in nursing homes. New England Journal of Medicine , 372 (19), 1823-1831. Retrieved https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4465278/
Ronald, L. A., McGregor, M. J., Harrington, C., Pollock, A., & Lexchin, J. (2016). Observational evidence of for-profit delivery and inferior nursing home care: when is there enough evidence for policy change?. PLoS medicine , 13 (4), e1001995. Retrieved https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1001995
You, K., Li, Y., Intrator, O., Stevenson, D., Hirth, R., Grabowski, D., & Banaszak-Holl, J. (2016). Do nursing home chain size and proprietary status affects experiences with care?. Medical care , 54 (3), 229. Retrieved https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4752885/
