Beyond the Balance Sheet: Investigating the Association Between NHA Turnover and Nursing Home Financial Performance

References

• Sengupta M. Post-acute and long-term care providers and services users in the United States, 2017–2018; 2022.
   Google Scholar
• Bowblis JR, Vassallo A. The effect of closure on quality: the case of rural nursing homes. J CompetLaw Econo. 2014;10(4):909–931. doi:10.1093/joclec/nhu017
   Google Scholar
• Castle NG, Ferguson JC, Hughes K. Humanism in nursing homes: the impact of top management. J Health Hum Serv Admin. 2009;31(4):483–516.
   PubMedGoogle Scholar
• Smith HL, Shortell SM, Saxberg BO. Administration: the critical long-term care variable. Health Care Manage Rev. 1977;2(4):67–72. doi:10.1097/00004010-197700240-00010
   PubMedGoogle Scholar
• Zheng Q, Williams CS, Shulman ET, et al. Association between staff turnover and nursing home quality–evidence from payroll‐based journal data. J Am Geriatr Soc. 2022;70(9):2508–2516. doi:10.1111/jgs.17843
   PubMed Web of Science ®Google Scholar
• Castle NG. Administrator turnover and quality of care in nursing homes. Gerontologist. 2001;41(6):757–767. doi:10.1093/geront/41.6.757
   PubMed Web of Science ®Google Scholar
• Geletta S, Sparks PJ. Administrator turnover and quality of care in nursing homes. Ann Long Term Care. 2013;21:6.
   Google Scholar
• Lerner NB, Trinkoff A, Storr CL, et al. Nursing home leadership tenure and resident care outcomes. J Nurs Regul. 2014;5(3):48–52. doi:10.1016/S2155-8256(15)30044-2
   Google Scholar
• Singh DA, Schwab RC. Retention of administrators in nursing homes: what can management do? Gerontologist. 1998;38(3):362–369. doi:10.1093/geront/38.3.362
   PubMed Web of Science ®Google Scholar
• Skilled nursing news ‘very alarming’ nursing home admin turnover, operator struggles put spotlight on Wisconsin; 2023. Available from: https://skillednursingnews.com/2023/01/very-alarming-nursing-home-admin-turnover-operator-struggles-put-spotlight-on-wisconsin/. Accessed October 26, 2023.
   Google Scholar
• Holecek T, Dellmann-Jenkins M, Curry D. Exploring the influence of the regulatory survey process on nursing home administrator job satisfaction and job seeking. J Appl Gerontol. 2010;29(2):215–230. doi:10.1177/0733464808321886
   Web of Science ®Google Scholar
• Nelson HW, Yang BK, Carter MW, et al. Nursing home administrator’s job satisfaction, work stressors, and intent to leave. J Appl Gerontol. 2021;40(1):67–76. doi:10.1177/0733464819896572
   PubMed Web of Science ®Google Scholar
• Castle NG, Lin M. Top management turnover and quality in nursing homes. Health Care Manage Rev. 2010;35(2):161–174. doi:10.1097/HMR.0b013e3181c22bcb
   PubMed Web of Science ®Google Scholar
• Denny-Brown N. Covid-19 intensifies nursing home workforce challenges. US department of health and human services office of the assistant secretary for planning and health evaluation; 2021. Available from: https://aspe.hhs.gov/reports/covid-19-intensifies-nursing-home-workforce-challenges. Accessed October 26, 2023.
   Google Scholar
• Weech-Maldonado R, Lord J, Pradhan R, et al. High Medicaid nursing homes: organizational and market factors associated with financial performance. Inquiry. 2019;56:0046958018825061. doi:10.1177/0046958018825061
   PubMed Web of Science ®Google Scholar
• Shen K. Staffing patterns in US nursing homes during COVID-19 outbreaks. In: JAMA Health Forum. American Medical Association; 2022.
   Google Scholar
• Americans Health Care Association Data Show Nursing Homes Continue to Experience Worst. Job loss of any health care sector; 2023. Available from https://www.beckershospitalreview.com/post-acute/nursing-homes-have-worst-job-loss-of-any-healthcare-sector-3-notes.html. Accessed October 26, 2023.
   Google Scholar
• Lord J, Weech-Maldonado R, Blackburn J, et al. Examination of nursing home financial distress via Porter’s five competitive forces framework. Health Care Manage Rev. 2021;46(3):E50–E60. doi:10.1097/HMR.0000000000000297
   PubMed Web of Science ®Google Scholar
• Weech-Maldonado R, Pradhan R, Dayama N, et al. Nursing home quality and financial performance: is there a business case for quality? Inquiry. 2019;3:56. doi:10.1177/0046958018825191
   Google Scholar
• Sharma H, Xu L. Nursing home profit margins and citations for infection prevention and control. J Am Med Directors Assoc. 2021;22(11):2378–2383. doi:10.1016/j.jamda.2021.03.024
   PubMed Web of Science ®Google Scholar
• Park J, Werner RM. Changes in the relationship between nursing home financial performance and quality of care under public reporting. Health Econo. 2011;20(7):783–801. doi:10.1002/hec.1632
   PubMed Web of Science ®Google Scholar
• Stephenson J. Report dissects “devastating impact” of COVID-19 in nursing homes in 2020. In: JAMA Health Forum. American Medical Association; 2021 doi:10.1001/jamahealthforum.2021.2226
   Google Scholar
• Gadbois EA, Brazier JF, Meehan A, et al. “I don’t know how many nursing homes will survive 2021”: financial sustainability during COVID‐19. J Am Geriatr Soc. 2021;69(10):2785. doi:10.1111/jgs.17380
   PubMed Web of Science ®Google Scholar
• Bern-Klug M, Beaulieu E. COVID-19 highlights the need for trained social workers in nursing homes. J Am Med Directors Assoc. 2020;21(7):970–972. doi:10.1016/j.jamda.2020.05.049
   PubMed Web of Science ®Google Scholar
• Grabowski DC, Mor V. Nursing home care in crisis in the wake of COVID-19. J Am Med Assoc. 2020;324(1):23–24. doi:10.1001/jama.2020.8524
   PubMed Web of Science ®Google Scholar
• Hambrick DC, Mason PA. Upper echelons: the organization as a reflection of its top managers. Acad Manage Rev. 1984;9(2):193–206. doi:10.2307/258434
   Web of Science ®Google Scholar
• Zhang P, Wierschem D, Mendez Mediavilla FA, et al. An empirical investigation on CEO turnover in IT firms and firm performance. J Int Technol Inform Manage. 2016;25(2):5. doi:10.58729/1941-6679.1269
   Google Scholar
• Eckhaus E, Iholkina V, Shkolnik E. The impact of healthcare executive seniority on implementation of innovative methods of diagnosis and prevention. Health Policy. 2022;126(10):996–1001. doi:10.1016/j.healthpol.2022.07.006
   PubMed Web of Science ®Google Scholar
• Barney JB. Firm Resources and Sustained Competitive Advantage, in Economics Meets Sociology in Strategic Management. Emerald Group Publishing Limited; 2000:203–227.
   Google Scholar
• Becker GS. Human Capital: A Theoretical and Empirical Analysis, with Special Reference to Education. University of Chicago press; 2009.
   Google Scholar
• Tomer JF. Organizational Capital: The Path to Higher Productivity and Well-Being. Praeger; 1987.
   Google Scholar
• Krug JA. Executive turnover in acquired firms: an analysis of resource-based theory and the upper echelons perspective. Journal of Management and Governance. 2003;7(2):117–143. doi:10.1023/A:1023607012229
   Google Scholar
• Liu X, Zhao R, Guo M. CEO turnover, political connections, and firm performance: evidence from China. Emerg Mark Rev. 2023;55:100965 doi:10.1016/j.ememar.2022.100965
   Web of Science ®Google Scholar
• Van Ness RK, Miesing P, Kang J. Board of director composition and financial performance in a Sarbanes-Oxley world. Acad Busi Econ J. 2010;10(5):56–74.
   Google Scholar
• Castle NG. Turnover begets turnover. Gerontologist. 2005;45(2):186–195. doi:10.1093/geront/45.2.186
   PubMed Web of Science ®Google Scholar
• Castle NG, Engberg J. Staff turnover and quality of care in nursing homes. Med Care. 2005;43(6):616–626. doi:10.1097/01.mlr.0000163661.67170.b9
   PubMed Web of Science ®Google Scholar
• Castle NG, Engberg J, Men A. Nursing home staff turnover: impact on nursing home compare quality measures. Gerontologist. 2007;47(5):650–661. doi:10.1093/geront/47.5.650
   PubMed Web of Science ®Google Scholar
• Weech-Maldonado R, Neff G, Mor V. Does quality of care lead to better financial performance?: the case of the nursing home industry. Health Care Manage Rev. 2003;28(3):201–216. doi:10.1097/00004010-200307000-00002
   PubMed Web of Science ®Google Scholar
• Beauvais B, Kruse CS, Ramamonjiarivelo Z, et al. An exploratory analysis of the association between hospital labor costs and the quality of care. Risk Manage Healthc Pol. 2023;16:1075–1091. doi:10.2147/RMHP.S410296
   PubMed Web of Science ®Google Scholar
• Gapenski LC, Pink GH. Understanding Healthcare Financial Management. Health Administration Press Chicago; 2007.
   Google Scholar
• Vélez-González H, Pradhan R, Weech-Maldonado R. The role of non-financial performance measures in predicting hospital financial performance: the case of for-profit system hospitals. J Health Care Fina. 2011;38(2):12–23.
   PubMedGoogle Scholar
• Ghiasi A, Lord J, Banaszak-Holl J, et al. Organizational culture and high Medicaid nursing homes financial performance. J Long Term Care. 2022;2022:142. doi:10.31389/jltc.115
   Google Scholar
• Pradhan R, Weech-Maldonado R, Harman JS, et al. Private equity ownership and nursing home financial performance. Health Care Manage Rev. 2013;38(3):224–233. doi:10.1097/HMR.0b013e31825729ab
   PubMed Web of Science ®Google Scholar
• Mukamel DB, Spector WD. Nursing home costs and risk-adjusted outcome measures of quality. Med Care. 2000;38(1):78–89. doi:10.1097/00005650-200001000-00009
   PubMed Web of Science ®Google Scholar
• Weech-Maldonado R, Shea D, Mor V. The relationship between quality of care and costs in nursing homes. Am J Med Qual. 2006;21(1):40–48. doi:10.1177/1062860605280643
   PubMed Web of Science ®Google Scholar
• Myers DR, Rogers R, LeCrone HH, et al. Work life stress and career resilience of licensed nursing facility administrators. J Appl Gerontol. 2018;37(4):435–463. doi:10.1177/0733464816665207
   PubMed Web of Science ®Google Scholar
• Bishop C, Impact of covid-19 on long-term care in Massachusetts; 2020. Available from: JLTC_MA.pdf.ltccovid.org. Accessed October 26, 2023.
   Google Scholar
• Reiland J, Nursing home administrator hiring, retention challenges deepen industry labor. Struggles - Skilled Nursing News; 2022. Available from https://skillednursingnews.com/2022/03/nursing-home-administrator-hiring-retention-challenges-deepen-industry-labor-struggles/: Accessed october 26, 2023.
   Google Scholar
• Kim M. Where the grass is greener: voluntary turnover and wage premiums. Indust Rel. 1999;38(4):584–603. doi:10.1111/0019-8676.00146
   Web of Science ®Google Scholar
• Sharma H, Xu L, Bishop CE. Association between wages and nursing staff turnover in Iowa nursing homes. Innovation Aging. 2022;6(4):1–9. doi:10.1093/geroni/igac004
   Web of Science ®Google Scholar
• Huang SS, Bowblis JR. Workforce retention and wages in nursing homes: an analysis of managerial ownership. J Appl Gerontol. 2020;39(8):902–907. doi:10.1177/0733464818795433
   PubMed Web of Science ®Google Scholar
• Hayes LJ, O’Brien-Pallas L, Duffield C, et al. Nurse turnover: a literature review. Int J Nurs Stud. 2006;43(2):237–263. doi:10.1016/j.ijnurstu.2005.02.007
   PubMed Web of Science ®Google Scholar
• White EM, Wetle TF, Reddy A, et al. Front-line nursing home staff experiences during the COVID-19 pandemic. J Am Med Directors Assoc. 2021;22(1):199–203. doi:10.1016/j.jamda.2020.11.022
   PubMed Web of Science ®Google Scholar
• Martin N, Frank B, Farrell D, et al. Sharing lessons from successes: long-term care facilities that weathered the storm of COVID-19 and staffing crises. J Nurs Care Qual. 2023;38(1):19–25. doi:10.1097/NCQ.0000000000000662
   PubMedGoogle Scholar
• Hajat C, Stein E. The global burden of multiple chronic conditions: a narrative review. Prevent Med Rep. 2018;12:284–293. doi:10.1016/j.pmedr.2018.10.008
   PubMedGoogle Scholar