Assessing Facility, Resident, and Financial Characteristics Associated With HUD 232–Sponsored Loan Participation in Nursing Homes

Many nursing homes require significant modernization to enhance resident quality of life, yet access to capital remains a critical barrier, especially for those dependent on Medicaid funding. The Housing and Urban Development (HUD) 232–sponsored loan program helps insure low-interest financing to nursing homes, but its impact on capital accessibility and quality improvement remains unclear. This study examines nursing home characteristics associated with receiving HUD 232–sponsored loans.