The federal government and the states should not accept accreditation by private bodies in lieu of federal or state licensing, certification, or enforcement of standards.
States considering payments to LTSS providers based on improved quality outcomes should rely on data from pilot projects developed with strong consumer participation.
States should ensure that facility-specific survey results and other information regarding quality are made available to the public in a timely manner.
More federal funding should be provided to the Administration for Community Living to develop and implement its emergency management responsibilities on behalf of older peo
Federal and state policymakers should support unbiased assessment of palliative care needs as well as improved access to palliative care services regardless of setting (e.g., nursing facility, resi
Federal and state governments should monitor compliance with the Nursing Home Reform Act and other laws and regulations affecting nursing facilities.
States should require that all beds in a nursing facility be certified for Medicaid and Medicare as a condition for the facility’s participation in Medicaid.
States should require adequate numbers of appropriately trained staff to ensure a high quality of care.
Quality measures: Participant preferences and satisfaction should be used as key quality measures.