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California

Regulatory Focus on Private Equity in Nursing Homes Grows Amid Concerns

Nearly 200 residents at the St. Joseph’s Center nursing home in the affluent Connecticut suburb of Trumbull were evacuated last year after Legionella bacteria was found in the facility’s water system. Two months later, they were evacuated again over critical…

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Genesis Saint Albans Healthcare and Rehabilitation Center sign

Key points

  • Private equity involvement in nursing homes is under scrutiny due to neglect allegations.
  • Connecticut has enacted stringent regulations for private equity-owned facilities.
  • The role of private equity in healthcare is raising concerns amid looming Medicaid cuts.

— In recent years, the role of private equity in nursing homes has come under increasing scrutiny, particularly following several crises that have raised alarms about patient care. Genesis HealthCare, a major operator in the skilled nursing sector, has faced lawsuits and investigations across multiple states, including Vermont, California, and Georgia, over accusations of neglect and abuse.

In Connecticut, the St. Joseph’s Center nursing home had to evacuate nearly 200 residents last year after Legionella bacteria was discovered in its water system. This incident was followed by another evacuation due to fire safety failures. Such incidents have prompted Connecticut lawmakers to implement one of the country’s most stringent laws aimed at enhancing transparency and accountability for private equity-owned nursing homes.

This new legislation not only mandates financial disclosures from nursing homes but also prohibits private equity firms from making day-to-day care decisions affecting residents. The governor of Connecticut, Ned Lamont, emphasized the necessity of these regulations in light of the growing influence of private equity in healthcare.

Currently, several states are also exploring similar measures. For instance, Illinois lawmakers have introduced bills that aim to strengthen oversight of healthcare mergers and place restrictions on private equity ownership of disability service providers.

Critics of private equity involvement in nursing homes argue that the model prioritizes profit over quality care. Gregory Orewa, an assistant professor at the University of Texas at San Antonio, stated, “Nursing homes exist to care for the most vulnerable who cannot care for themselves, so we should be holding private equity or anybody to high standards on providing quality care.” These concerns are compounded by the impending cuts to Medicaid that could impact the availability of care for older Americans, as the population aged 65 and over is projected to grow significantly in the coming years.

As states continue to grapple with the implications of private equity in nursing home care, the balance between investment and accountability remains a critical issue for regulators and advocates alike.

Based on reporting originally published by Stateline. Read the original story.

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