Federal and state governments should monitor compliance with the Nursing Home Reform Act and other laws and regulations affecting nursing facilities.
Quality measures: Participant preferences and satisfaction should be used as key quality measures.
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
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.
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