October 8, 2026 — In the Elder Justice Newsletter, we highlight citations, including deficiencies related to abuse, neglect, and substandard care, that have been identified as not causing any resident harm. The goal of this brief newsletter is to shed light on the issue of so-called “no harm” deficiencies, which typically result in no fine […]
October 7, 2026 – The Long Term Care Community Coalition (LTCCC) has released its latest national nursing home provider data report, offering searchable, facility-level information for 14,690 federally certified nursing homes.
The reports organize complex federal data into user-friendly Excel files that enable families, advocates, ombudsmen, attorneys, researchers, journalists, and policymakers to examine nursing home staffing, […]
The “Provider Info” dataset contains facility-level data (five-star ratings, ownership status, health inspection outcomes, etc.) for all US nursing homes. The “Problem Facilities” dataset includes the worst performing nursing homes. Filter datasets by state by using […]
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
October 5, 2026.
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Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
September 18, 2026.
Register for LTCCC’s October 2026 webinar.
Presenters: Richard Mollot, LTCCC Executive Director & Hayley Cronquist, LTCCC Associate Director Powerpoint Slides (PDF) Report: The Accountability Gap Understanding & Responding to the Accountability Gap: A Guide
LTCCC analysis finds steep decline in fines and widespread classification of violations as “no harm” in years following the COVID-19 Pandemic.
September 15, 2026 – The Long Term Care Community Coalition (LTCCC) has released The Accountability Gap: […]
This study assessed nursing home oversight and enforcement of minimum standards in the three year period following the COVID-19 public health emergency (2022-2024). Findings are based on federal data on (1) state and national citations, (2) quality measures, and (3) staffing.
In addition to the study, this page provides searchable […]
September 8, 2026 – As the Centers for Medicare & Medicaid Services (CMS) begins nationwide implementation of its new Risk-Based Survey (RBS) process today, LTCCC is releasing a new guide to help Long-Term Care Ombudsmen understand the process, respond to questions about facilities considered “higher performing” or “low […]
September 4, 2026 – Living in a nursing home does not take away a person’s right to vote. Yet residents may face practical barriers – such a registration deadlines, difficulty obtaining or returning a mail-in ballot, inaccessible transportation, or a lack of appropriate assistance – that can […]
September 2, 2026 – The Long Term Care Community Coalition (LTCCC) has released a new resource guide: Community Living & Disability Integration: What DOJ’s 2026 Policy Change Means for People Living with Disabilities, Residents, and Families.
Under the Americans with Disabilities Act (ADA) and the Supreme Court’s […]
August 31, 2026 – New federal data show that chronic understaffing continues to affect the overwhelming majority of U.S. nursing homes. According to LTCCC’s analysis of Q1 2026 federal staffing data, 88% of nursing […]
The “Provider Info” dataset contains facility-level data (five-star ratings, ownership status, health inspection outcomes, etc.) for all US nursing homes. The “Problem Facilities” dataset includes the worst performing nursing homes. Filter datasets by state by using […]
This program provides an updated look at nursing home performance in the Hudson Valley region, with a focus on nurse staffing levels, expected staffing needs, and differences in staffing on weekends and holidays. The data show that Hudson Valley nursing homes continue to experience significant staffing shortfalls, with average staffing below […]
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
August 17, 2026.
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
July 31, 2026.
In the Elder Justice Newsletter, we highlight citations, including deficiencies related to abuse, neglect, and substandard care, that have been identified as not causing any resident harm. The goal of this brief newsletter is to shed light on the issue of so-called “no harm” deficiencies, which typically result in no fine or penalty to the […]
Download a PDF of LTCCC’s Alert.
July 27, 2026 – The Centers for Medicare & Medicaid Services (CMS) has issued a memorandum rescinding its guidance on nursing home residents’ voting rights. While the new memorandum does not change federal law or residents’ fundamental right to vote, it withdraws important […]
Download a PDF of LTCCC’s Alert.
July 23, 2026 – On July 16, 2026, the Centers for Medicare & Medicaid Services (CMS) announced that it will implement a new “risk-based” survey approach for nursing home inspections beginning September 8, 2026. Under the new policy, approximately 12 percent of U.S. […]
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
July 15, 2026.
Five Years After COVID Pandemic Ravages Nursing Homes, State Issues Plan to Reduce Nurse Aide Training by 25%
Contact: Richard Mollot, richard@ltccc.org or 212-385-0356
NEW YORK, NY, July 14, 2026 — The Long Term Care Community Coalition (LTCCC) today called on the New York State Department of Health (DOH) to withdraw its plan […]
July 10, 2026 – Following the recent Supreme Court decision allowing the administration to terminate Temporary Protected Status for thousands of legal immigrants, the long-term care workforce is facing a devastating blow. In New York alone, a vital contingent of dedicated Haitian healthcare workers […]
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
June 30, 2026.
June 25, 2026 – The U.S. Department of Housing and Urban Development (HUD) recently issued a proposed rule, Equal Access to Housing in HUD Programs Revisions, that would make significant changes to the agency’s Equal Access regulations, including removing explicit protections related to gender identity and sexual orientation in HUD-funded […]
This program provides a live demonstration of LTCCC’s data visualization platform, highlighting how it can be used to examine key indicators in Hudson Valley nursing homes, compare local facility performance with state and national benchmarks, and identify trends that can inform advocacy, oversight, and quality improvement efforts. The program also offers practical guidance on […]
Presenter: Jonathan M. Evans MD MPH CMD FACP Powerpoint Slides (PDF) Antipsychotics, Other Psychotropics, and the Risk of Death in Patients With Dementia US Special Committee on Aging Testimony – Dr. Evans
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
June 15, 2026.
In the Elder Justice Newsletter, we highlight citations, including deficiencies related to abuse, neglect, and substandard care, that have been identified as not causing any resident harm. The goal of this brief newsletter is to shed light on the issue of so-called “no harm” deficiencies, which typically result in no fine or penalty to the […]
Inappropriate nursing home resident discharges have been a major problem for years. Too many nursing homes maximize profits by inappropriately discharging residents when they become less profitable or are “difficult.” In addition to severe emotional trauma, an inappropriate transfer could put a resident’s well-being and life at risk, especially when they are sent to a […]
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
June 1, 2026.
Download a PDF of the policy brief.
A recent McKnight’s Long-Term Care News article highlighted a Pennsylvania nursing home reportedly performing its first onsite bronchoscopy — a procedure typically associated with hospitals and specialty medical centers. The article presented the procedure as part of an emerging […]
This program explores how legislators, district office staff, and community partners can better support constituents and families navigating the challenges of dementia caregiving. Legislative offices are often contacted during moments of crisis — when families are overwhelmed by behavior changes, safety concerns, caregiver burnout, conflicts about care decisions, or uncertainty about available services […]
This program explores how professionals and community-based organizations can better support older adults and families navigating the challenges of dementia care. Professionals are often called upon during moments of crisis — when families are overwhelmed by behavior changes, safety concerns, caregiver burnout, conflicts about care decisions, or uncertainty about available services and next […]
May 18, 2026 – New federal data reveal that the overwhelming majority of U.S. nursing homes are operating with insufficient staffing to meet the basic needs of their residents. According to LTCCC’s report on […]
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
May 15, 2026.
May 13, 2026 – The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1843-P) that would update Medicare payment rates and quality reporting requirements for skilled nursing facilities (SNFs) beginning in Fiscal Year 2027. The Long Term Care Community Coalition (LTCCC) submitted comments urging the agency to strengthen accountability, transparency, […]
Register for LTCCC’s June webinar.
Presenter: Ernie Tosh Powerpoint Slides (PDF)
May 8, 2026 – The Long Term Care Community Coalition (LTCCC) today released new, facility-level data on antipsychotic (AP) drugging in U.S. nursing homes, highlighting both the continuing prevalence of antipsychotic use and disturbing limitations in the publicly available federal data. US AP Drugging Q4 2025
Antipsychotic drugs are powerful medications associated with […]
This program explores how employers, HR professionals, and workplace leaders can better support employees who are caring for a family member or loved one living with dementia. Many employees balance work responsibilities with the emotional and practical demands of caregiving, often experiencing stress, burnout, schedule disruptions, and reduced productivity. The session highlights the […]
This program explores how assisted living and home care providers can strengthen their approach to supporting individuals living with dementia through practical, person-centered strategies. Staff often encounter complex care situations and may feel uncertain about how to respond to changing communication, behaviors, and needs. The session highlights common challenges in dementia care and […]
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
April 30, 2026.
This program explores how faith communities can play a meaningful role in supporting individuals caring for loved ones living with dementia. Caregiving is often an invisible and isolating experience, and many caregivers within congregations may be struggling without openly asking for help. The session highlights the unique opportunity for faith leaders and community members to […]
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
April 15, 2026.
Register for LTCCC’s May webinar.
Presenter: Richard Mollot, LTCCC Executive Director Powerpoint Slides (PDF)
This program provides an updated look at nursing home performance in the Hudson Valley region, with a focus on staffing levels, federal quality ratings, and antipsychotic drugging trends. The program also offers practical guidance on dementia care standards and residents’ rights, including the appropriate use of antipsychotic medications, the importance of informed consent, and the […]
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
March 31, 2026.
Presenter: Mary Ellen Dellefield, PhD, RN, FAAN
Powerpoint Slides (PDF)
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
March 16, 2026.
March 13, 2026 – The Long Term Care Community Coalition is pleased to release two new data reports: Nursing Home Citations and Nursing Home Penalties. These user-friendly datasets allow consumers to identify when their facility has been cited for failing to meet minimum standards and enable journalists, policymakers, and researchers to identify […]
Give Nursing Home Residents the Basics They Deserve—Raise the PNA
March 6, 2026 – The Personal Needs Allowance (PNA) in New York has been stuck at $50 per month for over three decades. The dignity of our elders and individuals with disabilities should never be compromised by financial hardship, yet for too […]
March 5, 2026 – New federal data reveal that the overwhelming majority of U.S. nursing homes are operating with insufficient staffing to meet the basic needs of their residents. According to LTCCC’s report on […]
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
March 2, 2026.
February 25, 2026 – The Long Term Care Community Coalition (LTCCC) today released its updated national nursing home provider report. The updated data, derived from the federal Provider Information database, reveal persistent quality and staffing concerns affecting hundreds of thousands of residents nationwide.
The report, including searchable information on ratings, staffing, enforcement actions, […]
This program provides an updated look at regional nursing home performance, with a focus on staffing levels, quality ratings, pressure ulcer rates, and antipsychotic drugging trends. In addition to the data briefing, the program offers practical guidance on addressing care concerns, including residents’ rights, strategies for escalating unresolved issues, and options for seeking help both […]
Presenter: Sam Brooks, Director of Public Policy, National Consumer Voice for Quality Long-Term Care
Powerpoint Slides (PDF) Consumer Voice Report – Where Does All the Money Go?
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
February 17, 2026.
January 28, 2026 – CMS is moving to repeal federal minimum staffing standards for nursing homes – an action that would weaken one of the most important resident safety protections in decades. Today, the Long Term Care Community Coalition (LTCCC) submitted comments strongly opposing this repeal. Our comments explain that chronic understaffing is […]
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
January 30, 2026.
January 28, 2026 – Over the course of 2025, the Elder Justice Newsletter, a collaboration of the Long Term Care Community Coalition and the Center for Medicare Advocacy, dropped six hard-hitting issues exposing dangerous patterns in U.S. nursing homes where regulators identified serious care failures yet failed to identify […]
Presenters: Ruth Ann Dorrill, Caitlin Foster, Rebecca Gorges, and Shanna Weitz
Powerpoint Slides (PDF) – Falls OIG Report – Falls Powerpoint Slides (PDF) – Special Focus Facilities OIG Report – Special Focus Facilities
January 16, 2026 – New federal data reveal that the overwhelming majority of U.S. nursing homes are operating with insufficient staffing to meet the basic needs of their residents. According to LTCCC’s report on […]
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
January 15, 2026.
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
December 30, 2025.
In the Elder Justice Newsletter, we highlight citations, including deficiencies related to abuse, neglect, and substandard care, that have been identified as not causing any resident harm. The goal of this brief newsletter is to shed light on the issue of so-called “no harm” deficiencies, which typically result in no fine or penalty to the […]
December 16, 2025 – CMS has once again delayed implementation of the nursing home ownership disclosure requirements enacted by Congress in Section 6101 of the Affordable Care Act (ACA). Specifically, it has indefinitely suspended the off-cycle Medicare revalidation process that it established as the primary vehicle for collecting newly required […]
Presenter: Ed Dudensing Powerpoint Slides (PDF)
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
December 15, 2025.
This program provides an updated look at regional nursing home performance, with a focus on staffing levels, quality ratings, pressure ulcer rates, and antipsychotic drugging trends. In addition to the data briefing, the program offers practical guidance on addressing care concerns, including residents’ rights, strategies for escalating unresolved issues, and options for seeking help both […]
December 3, 2025 – The Long Term Care Community Coalition is deeply disheartened by the Centers for Medicare & Medicaid Services’ decision to repeal the federal minimum staffing standards for nursing homes. This action removes a long-overdue national floor for staffing – standards that, while modest, provided a basic safeguard […]
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
December 1, 2025.
Widespread fraud and chronic accountability failures continue to plague the U.S. nursing […]
Presenter: Eilon Caspi, PhD Powerpoint Slides (PDF)
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
November 17, 2025.
November 13, 2025 — The Long Term Care Community Coalition (LTCCC) has launched a Nursing Home Staffing Resource Center, a one-stop hub for data tools and practical guides that help the public and stakeholders determine whether facilities are staffing […]
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
October 31, 2025.
This page provides a one-stop access point to LTCCC’s staffing data, analyses, and practical tools.
Staffing is the most important indicator of a nursing home’s safety and quality. Under federal law, facilities must have sufficient nursing staff with appropriate competencies and skill sets to ensure each resident attains or maintains the highest practicable well‑being based on […]
Presenter: David Lipschutz, Co-Director of the Center for Medicare Advocacy
Powerpoint Slides (PDF) LTCCC Fact Sheet: Medicare Coverage of Skilled Nursing and Skilled Therapy Services
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
October 15, 2025.
This program presents the latest Hudson Valley nursing home staffing data, offering insights into current trends and facility performance across the region. It also guides participants on how to access and effectively use the data to support advocacy and oversight efforts. The program concludes with a discussion on the power of family councils, highlighting how […]
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
September 30, 2025.
This page highlights a variety of studies and reports exploring dementia care outside of institutional settings.
Resources
Patient and Caregiver Outcomes of Health System, Community-Based, and Usual Dementia CareA Prespecified Analysis of the Dementia Care Study (D-CARE) Randomized Clinical Trial. (2025). David B. Reuben, Alan B. Stevens, Thomas M. Gill, et al.
Presenters: Regan Bailey (Justice in Aging), Liam Mcgivern (Justice in Aging), and Toby Edelman (Center for Medicare Advocacy)
Complaint Brief of Amicus Curiae Toby S. Edelman Order Granting Class Certification (April 22, 2025) Memorandum Opinion (April 22, 2025) […]
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
September 15, 2025.
September 10, 2025 – Increasing numbers of people are receiving dementia care at home or in assisted living. Unfortunately, there are limited user-friendly resources to ensure that individuals in these settings receive appropriate services and care. To help meet these challenges and support […]
Septiembre 10, 2025 – Cada vez más personas reciben atención para la demencia en casa o en residencias asistidas. Lamentablemente, existen recursos limitados y fáciles de usar para garantizar que las personas en estos entornos reciban los servicios y la atención adecuados. Para […]
In the Elder Justice Newsletter, we highlight citations, including deficiencies related to abuse, neglect, and substandard care, that have been identified as not causing any resident harm. The goal of this brief newsletter is to shed light on the issue of so-called “no harm” deficiencies, which typically result in no fine or penalty to the […]
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
September 2, 2025.
August 27, 2025 – On August 25, NY Attorney General James announced a significant settlement against a major New York nursing home chain, the Upstate Services Group, which operates 17 nursing homes across the state. The facility at the focus of this action, the Van Duyn nursing home in […]
