A December 6, 2021 special report by the Center for Medicare Advocacy addresses the disturbing trend of poor-quality providers expanding the numbers of nursing homes they own and operate. The report – Why Do Nursing Home Operators Who Provide Poor Quality Care Control Increasing Numbers of Facilities? – cites several reasons for this trend: complex ownership structures; hidden ownership interest; state tolerance of unscrupulous operators; political influence of wealthy owners; and nursing home owners becoming too big to fail.

The report concludes that who owns or operates a nursing facility largely determines whether the facility will provide good care to its residents. This core truth is the reason CANHR is sponsoring AB 1502 (Muratsuchi), the Skilled Nursing Facility Ownership and Management Reform Act of 2022.