More than 400 long-term acute care hospitals have opened nationally in the last 25 years. Few of them have doctors on staff, and most are owned by for-profit companies. Select Specialty Hospital of Kansas City is part of a chain called the Select Medical Corporation, a publicly traded Pennsylvania company that runs 89 long-term hospitals. Lawsuits, state inspection reports, and statistics portray a troubling picture of the care offered at some Select hospitals, and at long-term care hospitals in general, the New York Times
reports. In 2007 and 2008, Select's hospitals were cited at a rate almost four times that of regular hospitals for serious violations of Medicare rules, according to an analysis.