Even discussing selling a nursing home leads to staff turnover, lower quality of care

Source: Rick Lee, York Daily Record, February 28, 2018
 
From Sweden to Taiwan to the United States, decades of international research has established that privatizing nursing homes results in increased staff turnover and decreased quality of care. Even discussing taking a nursing home out of government hands and putting it into the private sector causes staff turnover to begin, according to sociologist Steven Lopez, now an associate professor at Ohio State University. Twenty years ago, Lopez examined three Pennsylvania nursing homes – one that considered privatization; one that was taken over by a for-profit management company; and a privately owned nursing home documented as having low wages, high employee turnover and poor quality of care. Currently, the York County commissioners are exploring the possibility of selling the county-owned nursing home – Pleasant Acres Nursing and Rehabilitation Center. …

… Russ McDaid, the president and CEO of the Pennsylvania Health Care Association, an advocacy organization for many of the commonwealth’s nursing homes, said that is a problem facing many county-owned homes. … There are some people, McDaid said, who believe they can make a nursing home profitable through enhancing revenues and/or decreasing costs. The obvious places to cut costs is with staff numbers and wages, he said. … Both Adams and Lancaster counties sold their county nursing homes for similar financial reasons that are facing York County. …

Related:

Results mixed for other counties that sold nursing homes
Source: David Weissman, York Dispatch, February 28, 2018

As York County Commissioners consider selling the Pleasant Acres Nursing and Rehabilitation Center, they can look for guidance from plenty of other Pennsylvania counties that have recently sold their nursing homes. A York Dispatch review of state Department of Health records and local news reports from across the state found that at least 18 counties have sold their nursing homes, primarily to for-profit companies, since 2005. York County is one of 18 counties that still owns their own nursing homes, according to the review. … Selling Pleasant Acres, which taxpayers have subsidized to the tune of about $75 million during the past 10 years, has been discussed for many years because of its rising costs. The county has contracted the assistance of Susquehanna Group Advisors to solicit bids for Pleasant Acres, though commissioners insist they haven’t made a final determination to sell the 375-bed facility. Andrisano said she has seen counties reverse course after expressing an interest in selling their nursing homes because of constituent feedback, though it’s rare and she couldn’t recall any specific example. York County administrator Mark Derr said he’s been told 15 companies have expressed some form of interest in the nursing home, and final bid submissions are due March 15. …