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Nursing facilities provide long-term services and supports (LTSS), as well as short-term rehabilitation and postacute care following hospitalizations to people of all ages. Although younger p

Federal and state governments should monitor compliance with the Nursing Home Reform Act

Facilities should be required to post a residents’ bill of rights in prominent places accessible to residents and families. States should require that facilities give

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.

Residential care settings is an umbrella term that refers to many types of certified and licensed housing plus services options.

The federal government should assume a much stronger role in ensuring the quality of services paid for by Medicaid in residential care settings.

Federal agencies should monitor the progress of state efforts in developing common definitions of, and minimum standards for, services and facilities in assisted living resi