The government-sponsored Five-Star Quality Rating System (FSQRS) aggregates multiple measures of nursing home quality into a standardized overall rating. Previous research has found that the FSQRS affected consumer demand and correspondingly motivated a strategic shift towards competing for...

Multi-unit ownership and branding are separate decisions and non-consumer audiences can affect both. In this study we distinguish between the branding and chaining decisions of nursing homes, while measuring the effects of litigation and labor unions on these decisions. Chaining (independent of...

Ethics is a branch of philosophy that can trace its roots back at least 2500 years. Since the time of Socrates, Plato, and Aristotle a succession of theories has been advanced to provide a set of principles of human conduct. As examples, egoism argues that an act is appropriate if and only if it...