The federal government should increase funding and strengthen requirements for states to implement Long-Term Care Ombudsman programs.
State governments should fully fund agencies responsible for investigating abuse and neglect and ensure that they have the capacity to respond appropriately in a timely manner.
Congress should make pre-dispute mandatory arbitration provisions in LTSS contracts unenforceable.
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
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.
Federal and state governments should monitor compliance with the Nursing Home Reform Act and other laws and regulations affecting nursing facilities.