TITLE:
Financial Stability Success Strategies for Nursing Homes
AUTHORS:
Jennifer H. Garrison, Kim A. Critchlow
KEYWORDS:
Financial Stability, Financial Sustainability, Regularly Compliance Practices, Nursing Home, Closures, Longevity, Profitability, Regulation, Compliance, Nursing Facilities, Long-Term Care, Nursing Homes
JOURNAL NAME:
Open Journal of Business and Management,
Vol.14 No.3,
April
10,
2026
ABSTRACT: Ineffective regulatory strategies can lead to reduced financial stability. Financial stability is defined as the ability of a financial system to function effectively during both good and bad economic times. Nursing home leaders who wrestle to improve regulatory practices may find their business facing reduced financial sustainability. Grounded in management by objectives theory, this qualitative, pragmatic inquiry sought to identify and explore the effective strategies nursing home leaders used to implement regulatory compliance practices that enhance financial sustainability. The participants were nine nurse home leaders who used effective strategies to implement regulatory compliance practices that increase financial sustainability. Data were collected through semistructured interviews, public websites, and current and archival public documents. Through thematic analysis, three themes were identified: (a) developing knowledgeable staff, (b) enhancing communication with staff and residents, and (c) promoting innovation for continuous quality improvement. A key recommendation is for nursing home leaders to prioritize understanding costs associated with increased health care regulations. The implications for positive social change include the potential for nursing home leaders to improve the quality of patient health care and create employment opportunities to promote community prosperity and financial sustainability in the nursing home industry in the United States. Financial sustainability is the ability of an organization to maintain long-term financial health by generating sufficient revenue to cover expenses, invest in growth, and remain resilient against risks.