External sources
Resources
The research, data sources, and watchdog groups we rely on and point to.
Academic research
- Gupta, Howell, Yannelis, Gupta — "Does Private Equity Investment in Healthcare Benefit Patients?" (NBER w28474)
Landmark causal study showing PE acquisition of nursing homes increases short-term mortality among Medicare patients.
- Braun et al. — "Comparative Performance of PE-Owned US Nursing Homes During COVID-19" (JAMA Network Open 2020)
Found PE-owned SNFs had significantly higher COVID-19 infection and death rates during the pandemic.
- Bos & Harrington — "What Happens to a Nursing Home Chain When Private Equity Takes Over?" (Inquiry 2017)
Documents the post-acquisition playbook: cost cutting, staffing reductions, and quality deterioration over a five-year window.
- Stevenson & Grabowski — "Private Equity Investment and Nursing Home Care" (Health Affairs 2008)
Early foundational study establishing PE-owned SNFs as systematically lower quality and higher deficiency-cited than other for-profits.
- Chen et al. — "Major Gaps and Discrepancies" in CMS affiliated entities data (Health Affairs 2024)
Quantifies how severely incomplete CMS's own ownership disclosure data is — the methodological basis for our entity resolution work.
Watchdog & policy
- Roosevelt Institute — "The Impact of Private Equity on Nursing Home Care" (Atkins, April 2021)
Policy brief synthesizing the research base and calling for ownership transparency reforms that Placet operationalizes.
- Private Equity Stakeholder Project (PESP)
Tracks PE investments in healthcare, housing, and infrastructure; primary source for chain-level ownership investigation.
- Americans for Financial Reform — NJ PE nursing homes COVID report
State-level case study of how opacity in PE ownership structures delayed accountability during COVID.
- Long Term Care Community Coalition (LTCCC)
Resident and family advocacy organization; maintains NursingHome411.org with facility-level accountability data.
- GAO-23-106163 — Nursing Home Ownership Transparency
GAO audit confirming that CMS's ownership data is too incomplete to reliably identify beneficial owners — validates our entity resolution approach.
Data sources
- CMS Provider Data Catalog
Primary source for SNF facility info, star ratings, inspection results, and quality measures.
- CMS SNF All Owners
CMS's disclosed ownership data for skilled nursing facilities — incomplete but the authoritative federal starting point.
- NPPES Bulk Downloads
Full NPI registry for all US healthcare providers; we use it to crosswalk NPI to CCN and normalize organization names.
- LTCFocus (Brown University)
Longitudinal SNF panel dataset with annual facility-level quality metrics going back to 1999 — enables trend analysis.
- ProPublica Nursing Home Inspect
Full CMS inspection report text in searchable form; useful for surfacing citation patterns not visible in summary data.
- OIG LEIE — Exclusions Database
List of individuals and entities excluded from federal healthcare programs; a hard disqualifier we screen operators against.
- SEC EDGAR
Publicly traded nursing home chains file 10-Ks disclosing ownership structure, PE relationships, and financial condition.
- OpenCorporates
Largest open database of companies worldwide; useful for tracing shell companies and cross-jurisdiction ownership chains.
- OpenOwnership
Global beneficial ownership data standard and registry; reference for how to model and publish ownership graphs.
Investigative journalism
- Washington Post — "Overdoses, Bedsores, Broken Bones" (Whoriskey & Keating, 2018)
The investigation that put PE-owned SNF quality on the national agenda; data-driven and widely cited by researchers.
- NYT — Goldstein / Silver-Greenberg / Gebeloff nursing home series (2020)
Comprehensive NYT investigation into COVID deaths and ownership opacity in nursing homes.
- KFF Health News
Ongoing beat coverage of SNF quality, staffing mandates, and PE accountability — the most consistent trade-press source.
Tools & methods
- Splink — Probabilistic Record Linkage (UK Ministry of Justice)
Open-source Python library for scalable probabilistic entity matching; we're using it to deduplicate operator names across data sources.
- pg_trgm — PostgreSQL Trigram Extension
Native Postgres fuzzy string matching used in normalize_operator_name to catch abbreviation and punctuation variants.