Not for Profit Difference

Not-for-Profit facilities have long been recognized as having a tradition of serving the needs of older persons Crandall Medical Center is a non-profit, skilled nursing facility on the campus of Copeland Oaks Retirement Community operating in covenant with the United Methodist Church and open to people of all faiths.

Opened in 1981 after $1 million grant was received from the J. Ford Crandall Foundation, Crandall Medical Center is home to up to 198 individuals living in all private rooms. Expanded in 1990 to meet increasing demand for quality senior care, Crandall became affiliated with the Health & Welfare Ministries Division of the East Ohio Conference of the United Methodist Church in 1991.

Crandall Medical Center is governed by a volunteer board of trustees who are committed to caring for the needs of older people. The Crandall trustees donate their time and expertise for just one reason: to assure that their residents receive high quality service and care.

Evidence-based opinions:

Results of a survey performed by Consumer Union, publisher of Consumer Reports, and released Aug., 7, 2006, found: "Not-for profit nursing homes generally provide better quality of care for residents than for-profit facilities. In addition, independent nursing homes were found to provide better care than those managed by companies that operate numerous homes." For the survey, which was funded by a grant from the Commonwealth Fund, researchers evaluated three of the most recent state inspection reports for about 16,000 nursing homes nationwide.

A report issued Sept. 30, 2008 by the Office of Inspector General in the U. S. Dept of Health & Human Services finding that independently run nursing homes were more likely to provide good care than those that were part of chains confirmed the findings of the 2006 study.

Again in Aug, 2009, a statistical review of 82 individual research studies revealed that non-profit nursing homes deliver, on average, higher quality care than for-profit nursing homes for two of the most frequently reported quality measures: (1) more or higher quality staffing and (2) less prevalence of pressure ulcers, sometimes called bedsores. "The results are unequivocal and completely consistent with other studies comparing for-profit verses non-profit care," said Dr. Gordon Guyatt, professor of medicine at McMaster University in Hamilton, Canada and a world leader in "evidence-based medicine." "The reason patient quality of care is inferior in for-profit homes is that administrators spend 10 % to 15% of revenues satisfying shareholders and paying taxes," he explained.

In commenting on the results of the studies and meta analysis, Larry Minnix, CEO of the American Association of Homes and Services for the Aging, said, "Consumer Reports' analysis once again affirms that a consumer's search for a quality nursing home should begin with not-for-profits. Because they answer first and foremost to residents and their families, not-for-profit nursing homes invest additional resources in staffing, the best proxy for quality we know. Families should have peace of mind: quality nursing home care is available to them." In his statement, Minnix identified a vision that "will help us more to the day when there will be two types of nursing homes: the excellent and the non-existent."