FeaturesDownsizing in the Nursing Home IndustryCastle, Nicholas G.; Men, Aiju; Engberg, John Author Information Nicholas G. Castle, PhD, is Assistant Professor, Graduate School of Public Health, University of Pittsburgh, Pennsylvania. E-mail: [email protected]. Aiju Men, MS, is Research Associate, Graduate School of Public Health, University of Pittsburgh, Pennsylvania. John Engberg, PhD, is Senior Health Economist, RAND, Pittsburgh, Pennsylvania. Health Care Management Review: July 2006 - Volume 31 - Issue 3 - p 231-240 Buy Abstract Downsizing in the nursing home industry from 1992 to 2003 was examined. Most significantly, we show that downsizing is subsequently associated with improved quality. © 2006 Lippincott Williams & Wilkins, Inc.