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

Skilled nursing facilities (SNFs) are experiencing significant regulatory scrutiny. Recent federal rules established guidelines for increased transparency in reporting of changes in SNF ownership and controversial minimum staffing levels for nurse occupations. This study examined whether SNF changes in ownership were independently associated with changes in levels of nurse, non-nurse, administrator, and contract staff.