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How to Start a Nursing Home?

By Maria Briggs Published January 16, 2025

Nursing homes are necessary healthcare facilities meant to provide round-the-clock supervision and medical care for disabled or older adults. With underfunding, understaffing, overcrowding, and overpricing plaguing America’s nursing homes, it’s time that the system had some fresh blood. Modern nursing homes need to change the way they operate in order to provide better quality care to patients and shift the way society regards them. If you’re looking to offer a refreshing change to the industry, you’ll need to know how to get started.

Learn the Industry

Most companies that operate nursing homes have extensive education and insight into healthcare, senior care, and nursing home sectors. If you are serious about operating a nursing home, you must put in the work to learn the industry, including operational practices, funding sources, state and federal regulations, and more. You can hire experts in the field to kickstart the business faster, including compliance managers, marketers, insurance brokers, and more. You’ll also want to familiarize yourself with other nursing homes in the area to get a good idea of the local senior population, competition, and industry standards.

Create a Business Plan

You will need to establish goals for your business, including how large the nursing home will be, potential expansion and growth, how you’ll fund it, and staff size. Nursing homes are a team-oriented business, so you will need to factor in nurses, other healthcare providers, security, and other professionals to help you along the way. Once you’ve established your goals, compile them into a coherent business plan to get started.

Choose a Location

You’ll find no shortage of older adults in America. In fact, older adults are becoming a very prominent population worldwide. You will need to choose a location for your nursing home to thrive. Popular retirement areas can be a good choice due to the older adult population, but you’ll likely have a lot of competition. Find areas that could use more nursing homes, including areas with poorer quality nursing homes. You can provide higher-quality options for those who need it. Florida, Arizona, and California are some popular retirement states, but you can choose anywhere with the right research.

Obtain Licensing, Training, and Insurance

Nursing homes are healthcare facilities, and they must adhere to state and federal regulations and laws, including licensing. The nursing home and all healthcare providers must be properly licensed before opening the doors. You’ll need several types of business insurance as well, including liability, property, and worker’s compensation, depending on your location. All staff need to be thoroughly trained to provide tailored, high-quality care to nursing home patients. Many nursing homes face legal fines and termination due to poor quality, including abuse, neglect, and sanitation problems. US nursing home quality is a widespread issue. A majority of Atlanta, Georgia’s nursing home reviews (60%) are only one or two stars. In Riverside, California, 27 assisted living facilities (31%) have received an overall rating of below or much below average. Rockford, Illinois has even more nursing homes with poor quality ratings at 33%. If you are committed to a nursing home, you need to train and prepare to avoid security issues, staffing shortages, and overcrowding.

Acquire Supplies and Equipment

You will need to secure funding for a facility, supplies, and equipment. Business loans can provide credit when required. Federal and state governments can provide funding for a nursing home if you meet certain criteria, like being a nonprofit or providing a community service. You may also need to use your own assets or savings to fund your business. You’ll need beds, medical supplies, diagnostic equipment, pharmaceutical supplies, computers, offices, desks, enrichment activities, and more. You will want all of these supplies and equipment in hand, along with furniture arranged, before you open your doors.

Hire Staff

A nursing home is only as good as the staff that helps operate it. You will need many skilled nurses, caregivers, and other healthcare providers for your nursing home. You’ll also need janitorial staff, security guards, office administrators, receptionists, marketers, IT professionals, and many other employees. Conduct thorough interviews and background checks before taking on any staff member. Keep a close eye on and conduct regular performance reviews for employees to help keep track of them. Make sure you do not cut corners when it comes to hiring and training.

Start Marketing

You’ll need to advertise yourself as an option to your location’s senior population. Establishing an online presence is a great way to get yourself in the door when it comes to marketing to families who need care for their aging loved ones. You will want a fully designed website as well. In-person marketing is very important for nursing homes too. Consider signs, billboards, and local advertising spaces. Hire a marketer for the most effective strategies.

Conclusion

Healthcare regulations, including laws for nursing homes, frequently change. It’s important to stay current with industry trends and changing rules to keep your patients safe, happy, and healthy. If you are not adaptable, your nursing home’s quality will easily drop, and you may have trouble keeping your doors open. If you prioritize friendly, top-of-the-line care, your nursing home will have the greatest chances for success.

Interlinking Opportunities

From (https://tweakyourbiz.com/posts/5-biggest-business-plan-mistakes-entrepreneurs-make) with the anchor starting a nursing home

From (https://tweakyourbiz.com/posts/the-key-characteristics-of-a-scalable-startup) with the anchor start a nursing home

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Maria Briggs

Maria has over 12 years of experience in marketing, communications, and public relations. Her favorite part of working with clients is watching their business grow by helping them develop a plan that integrates all facets of digital marketing.

Contact author via email

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Contents
Learn the Industry
Create a Business Plan
Choose a Location
Obtain Licensing, Training, and Insurance
Acquire Supplies and Equipment
Hire Staff
Start Marketing
Conclusion
Interlinking Opportunities

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