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The Centers for Medicare & Medicaid Services, the states, and all other regulators should vigorously enforce all regulations in long-term services and supports (LTSS) facilities and home care w

The federal government and the states should provide incentives (including, but not limited to, grants and loans) for new, affordable models of LTSS.

The federal government and the states should require providers to hold residents’ beds for them during temporary absences as long as the residents’ fees continue to be paid. 

The federal government and the states should enact laws that establish the right of residents in nursing facilities and residential care settings—or their legally recognized decision-makers—to use

Agencies that refer individuals to nursing facilities and residential care settings should be required to inform the facility when an applicant poses a potential threat to the safety of other resid

States should provide adequate funding to enable state LTSS ombudsmen to visit all facilities.

States should have a full range of sanctions available, including (but not limited to) civil money penalties, a ban on all new admissions, monitoring of directed plans of correction, denial of Medi

States should encourage facilities to involve family members and the local community in facility activities and help residents develop and maintain relationships in the broader community.