Thousands of Americans reside in nursing homes across the US, with facilities spanning a wide range of sizes, occupancy rates, staffing levels and expertise, available services, business models and managerial expertise. This great variability between each facility results in a highly divergent quality levels, creating a substantial challenge for families across the country: which home should they choose for their elderly relatives.

What organizational factors impact the quality of care in nursing homes; specifically which factors are associated with high quality care nursing homes in the United States?