This paper studies acquisitions of nursing home facilities by chains. We first test alternative ‘cream-skimming’ and ‘turn-around’ arguments concerning nursing home acquisitions. We then consider post-acquisition changes in nursing home health performance, differentiating effects of the...

This paper studies acquisitions of nursing home facilities by chains. We first test alternative 'cream-skimming' and 'turn-around' arguments concerning nursing home acquisitions. We then consider post-acquisition changes in nursing home health performance, differentiating effects of the...

Multiunit chains proliferated rapidly during the twentieth century and now dominate much of the service sector landscape, often growing by acquiring components from other owners. Transfer learning plays a central but only partially understood role in chain strategy, in both ongoing and newly...