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Research ArticleArticles

Does Immigration Improve Quality of Care in Nursing Homes?

View ORCID ProfileDelia Furtado and View ORCID ProfileFrancesc Ortega
Journal of Human Resources, January 2026, 61 (1) 1-40; DOI: https://doi.org/10.3368/jhr.0720-11063R2
Delia Furtado
Delia Furtado is a professor of economics at the University of Connecticut .
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  • For correspondence: Delia.Furtado{at}uconn.edu
Francesc Ortega
Francesc Ortega is the Dina A. Perry Professor of Economics at the Queens College of the City University of New York .
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Abstract

We explore how immigration can help mitigate nursing home staffing shortages, which are likely to worsen as baby boomers age. We show that local increases in immigration lead to fewer falls, less use of restraints, and fewer pressure ulcers among nursing home residents, as well as improvements in other measures of quality of care. Consistent with a labor market explanation, we find that immigration increases the local supply of workers in nursing fields, with the largest effect on the number of nurse aides—the workers primarily responsible for hands-on care in nursing homes.

JEL Classification:
  • J61
  • J14
  • I11
  • Received July 2020.
  • Accepted May 2023.
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Journal of Human Resources: 61 (1)
Journal of Human Resources
Vol. 61, Issue 1
1 Jan 2026
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Does Immigration Improve Quality of Care in Nursing Homes?
Delia Furtado, Francesc Ortega
Journal of Human Resources Jan 2026, 61 (1) 1-40; DOI: 10.3368/jhr.0720-11063R2

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Does Immigration Improve Quality of Care in Nursing Homes?
Delia Furtado, Francesc Ortega
Journal of Human Resources Jan 2026, 61 (1) 1-40; DOI: 10.3368/jhr.0720-11063R2
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  • Article
    • Abstract
    • I. Introduction
    • II. Data and Descriptive Statistics
    • III. Empirical Strategy
    • IV. Immigration and Quality of Care in Nursing Homes
    • V. Immigration and the Supply of Nurses
    • VI. Conclusions
    • Acknowledgments
    • Footnotes
    • References
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Keywords

  • J61
  • J14
  • I11
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