April 7, 2025

Impacts of Skilled Nursing Facility Change of Ownership on Staffing: A Staggered Difference-in-Difference Analysis

Staffing and ownership transparency have recently become key national policy priorities for skilled nursing facilities (SNFs), which are now facing heightened regulatory scrutiny. New federal regulations require greater transparency in reporting ownership changes and introduce controversial minimum staffing requirements for nursing positions.

This article examines a staggered difference-in-differences (DID) analysis of whether SNF changes in ownership were independently associated with changes in levels of nurse, non-nurse, administrator, and contract staff.

Don’t have access to the full text? Email Rachel Prusynski, (Rachelp1@uw.edu), to request a pdf version.

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