Table 2. Unadjusted COVID-19 Outcomes by Ownership.
Outcomea | % (SD) | P valueb | Nonprofit, % (SD), (n = 2523) | P valueb | Government, % (SD), (n = 611) | P valueb | |
---|---|---|---|---|---|---|---|
Private equity–owned (n = 543) | For-profit, excluding private equity (n = 7793) | ||||||
Resident COVID-19 measures, mean (SD), per 1000 residents | |||||||
Confirmed COVID-19 cases | 110.8 (8.1) | 88.3 (2.1) | .007 | 67.0 (3.8) | <.001 | 39.8 (7.6) | <.001 |
COVID-19 deaths | 78.9 (5.9) | 61.9 (1.6) | .006 | 66.4 (3.0) | .06 | 56.2 (7.3) | .02 |
All deaths | 87.9 (4.8) | 78.1 (1.3) | .047 | 91.5 (2.2) | .50 | 67.6 (4.5) | .002 |
PPE supply measures | |||||||
1-wk supply of N95 masks | 76.8 (1.5) | 86.2 (0.4) | <.001 | 89.1 (0.7) | <.001 | 91.8 (1.4) | <.001 |
1-wk supply of surgical masks | 94.1 (1.0) | 93.0 (0.3) | .30 | 95.5 (0.5) | .23 | 96.2 (1.0) | .14 |
1-wk supply of eye protection | 93.2 (1.0) | 93.4 (0.3) | .87 | 95.8 (0.5) | .02 | 94.9 (1.0) | .22 |
1-wk supply of medical gowns | 64.3 (1.4) | 88.0 (0.4) | <.001 | 91.4 (0.6) | <.001 | 91.7 (1.3) | <.001 |
1-wk supply of gloves | 94.3 (0.8) | 95.7 (0.2) | .10 | 97.4 (0.3) | .001 | 97.9 (0.7) | .002 |
1-wk supply of hand sanitizer | 93.9 (0.9) | 94.8 (0.2) | .38 | 96.5 (0.4) | .01 | 96.7 (0.9) | .03 |
Staff shortage measures | |||||||
Shortage of nursing staff | 10.9 (1.5) | 15.5 (0.4) | .003 | 13.6 (0.7) | .11 | 20.3 (1.4) | <.001 |
Shortage of clinical staff | 2.0 (0.7) | 2.9 (0.1) | .25 | 2.6 (0.3) | .45 | 3.0 (0.6) | .34 |
Shortage of aides | 13.3 (1.6) | 18.1 (0.4) | .004 | 16.0 (0.8) | .13 | 21.6 (1.5) | <.001 |
Shortage of other staff | 7.4 (1.2) | 9.0 (0.3) | .20 | 8.5 (0.6) | .39 | 11.5 (1.2) | .02 |
Abbreviations: COVID-19, coronavirus disease 2019; PPE, personal protective equipment.
Outcome measures are from the Centers for Medicare & Medicaid Services Nursing Home COVID-19 Public File as of July 2, 2020.
Unadjusted comparisons of outcome measures by ownership category relative to private equity were made using t tests for resident COVID-19 measures and proportional tests for resident PPE supply and staff shortage measures.