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Senior Care Policy Brief: Underreported, Understaffed, Underprepared

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.

NEWSFLASH

Alert: LTCCC Releases New Nursing Home Antipsychotic Drugging Data While Warning of Gaps in Federal Reporting

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 […]

Train-the-Trainer Program: Employers

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 […]

2026-05-07T18:23:25-04:00New York|

Train-the-Trainer Program: Assisted Living and Home Care Providers

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 […]

2026-05-04T10:40:42-04:00New York|

Senior Care Policy Brief: Unsafe Staffing, Unsafe Care

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.

NEWSFLASH

Train-the-Trainer Program: Faith-Based Communities

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 […]

2026-05-04T10:32:24-04:00New York|

Senior Care Policy Brief: A System Designed to Hide the Problem

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.

ANTIPSYCHOTIC DRUGGING IN NURSING HOMES: ONGOING ABUSE AND FAILED OVERSIGHT

Hudson Valley April 2026 Update: Data Update and Dementia Care Standards

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 […]

2026-04-29T19:34:02-04:00New York|

Senior Care Policy Brief: The Illusion of Five-Star Care

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.

NEWSFLASH

Senior Care Policy Brief: Troubled Nursing Home Chain Announces Record Profits

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.

NEWSFLASH

LTCCC Alert: New Data Reports Provide Insights Into Nursing Home Citations and Penalties

March 13, 2026The 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 […]

LTCCC Alert: Increase the Personal Needs Allowance for New York Nursing Home Residents

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 […]

LTCCC Alert: Over 1 Million Vulnerable Residents in Understaffed US Nursing Homes

The following is an alert for LTCCC’s Q3 2025 staffing report. Download national, state, community, and facility-level data at NursingHome411.org.

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 […]

Senior Care Policy Brief: Capital Flows Surge Across LTC Sector

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.

NEWSFLASH

  • In response to the Centers for Medicare & Medicaid […]

LTCCC Alert: New National Nursing Home Data Report Reveals Widespread Staffing Shortfalls, Ongoing Enforcement Concerns

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, […]

Hudson Valley February 2026 Update: Data Update and Discharge Protections & Access to Services

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 […]

2026-02-24T11:56:19-05:00New York|

Webinar: Where Does All the Money Go? Exploring How New Jersey Nursing Homes Use Public Money

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?

Senior Care Policy Brief: Industry Influence

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.

NEWSFLASH

LTCCC’s Comments to CMS Opposing the Repeal of the Nursing Home Staffing Standard

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 […]

Senior Care Policy Brief: Burnout on the Front Lines

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.

NEWSFLASH

Webinar: Resident Falls and Poorly Performing Facilities: Key Findings From Two Federal Evaluations

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

LTCCC Alert: Federal Data Indicate That the Average US Nursing Home is 25% Short-Staffed

The following is an alert for LTCCC’s Q2 2025 staffing report. Download national, state, community, and facility-level data at NursingHome411.org.

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 […]

Senior Care Policy Brief: Boom Times for Investors

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.

NEWSFLASH

Senior Care Policy Brief: CMS Tightens Audits as Errors Persist

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.

NEWSFLASH

Wounds left to worsen: Elder Justice “No Harm” Newsletter (Volume 7, Issue 6)

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 […]

LTCCC’s Statement on CMS’s Suspension of SNF Ownership Disclosure Revalidation

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 […]

Webinar: The Expanding Role of Big Finance in Long-Term Care: What It Says About Profitability and Resident Well-Being

Presenter: Ed Dudensing Powerpoint Slides (PDF)

Senior Care Policy Brief: Bankruptcy as a Business Strategy

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.

NEWSFLASH: SAFE STAFFING REPEALED

Hudson Valley December 2025 Update: Data Update and What to Do When Things Go Wrong

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 […]

2026-02-24T11:57:04-05:00New York|

LTCCC’s Statement on CMS Repealing Federal Nursing Home Staffing Standards

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 […]

Senior Care Policy Brief: The Business of Broken Care

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 […]

Senior Care Policy Brief: Special Focus Failure

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.

NEWSFLASH

Alert: LTCCC Launches Nursing Home Staffing Resource Center

New Guides Equip Residents & Families, LTC Ombudsmen, Legislators, and Attorneys to Use Staffing Data

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 […]

2025-11-17T15:33:35-05:00Alerts|

Senior Care Policy Brief: Oversight on Pause — Residents at Risk

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.

NEWSFLASH

  • Due to the ongoing federal government shutdown, […]

Nursing Home Staffing Resource Center

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 […]

Senior Care Policy Brief: Genesis Healthcare’s Financial Collapse

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.

NEWSFLASH

Hudson Valley October 2025 Update: Staffing Data and Family Councils

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 […]

2026-02-24T11:57:44-05:00New York|

Senior Care Policy Brief: The Truth About Falls

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.

NEWSFLASH

External Resources: Miscellaneous Research

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.

Webinar: Nursing Home Oversight and Disability Law

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) […]

Senior Care Policy Brief: Who’s Protecting Residents?

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.

NEWSFLASH

  • The Centers for Medicare & Medicaid Services […]

LTCCC Alert: Dementia Care in the Community Resources Now Available in Spanish

Lea esta alerta en español.

September 10, 2025Increasing 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 […]

Kicked out on Christmas: Elder Justice “No Harm” Newsletter (Volume 7, Issue 5)

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 […]

Senior Care Policy Brief: Protecting Care, Not Profits

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.

NEWSFLASH

Special Alert on NYS Attorney General’s Settlement with Upstate Services Group “to Stop Resident Neglect and Financial Fraud” at its Van Duyn Nursing Home

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 […]

2025-08-27T11:32:05-04:00Alerts, New York|

LTCCC Alert: Nursing Homes Provide Far Less Care Than Residents Require (Q1 2025)

The following is an alert for LTCCC’s Q1 2025 staffing report. Download national, state, community, and facility-level data at NursingHome411.org.

August 25, 2025 – Today LTCCC is releasing its latest quarterly report on the staffing levels for every U.S. nursing home (in compliance with federal reporting requirements). These data, accessible to the public at […]

Senior Care Policy Brief: Billions for Nursing Homes – Where’s the Oversight?

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 15, 2025.

NEWSFLASH

LTCCC Testimony: U.S. Senate Special Committee on Aging Hearing on Combating Elder Abuse & Neglect

On July 30, 2025, the U.S. Senate Special Committee on Aging held a hearing to examine the ongoing crisis of elder abuse and neglect. In response, the Long Term Care Community Coalition (LTCCC) submitted written testimony for the official hearing record.

Our testimony highlights the urgent need for stronger protections, meaningful enforcement, […]

Senior Care Policy Brief: Financial Games, Human Costs

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, 2025.

NEWSFLASH

Senior Care Policy Brief: Big Bill, Big Cuts

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, 2025.

NEWSFLASH

  • In the largest health care fraud enforcement action […]

LTCCC’s Statement on Passage of the “Big Beautiful Bill”

July 3, 2025—The Long Term Care Community Coalition is deeply disheartened by the passage of the so-called “Big Beautiful Bill” or H.R. 1, now approved by both the House and the Senate. This sweeping legislation will inflict profound and lasting harm on nursing home residents, individuals receiving home- and community-based services, and families who rely […]

Senior Care Policy Brief: Care Compare Gets a Makeover

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, 2025.

NEWSFLASH

Joint Statement: Letter to Senate Opposing Reconciliation Bill

On June 23, 2025 the Long Term Care Community Coalition joined nearly 100 national, state, and local organizations in opposing a proposed Senate reconciliation bill that would cut Medicaid funding and delay implementation of the federal nursing home minimum staffing rule. These changes would jeopardize access to long-term care services for millions of older adults […]

Silenced in the Shower: Elder Justice “No Harm” Newsletter (Volume 7, Issue 4)

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 […]

Senior Care Policy Brief: Follow the Money

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 16, 2025.

NEWSFLASH

LTCCC Alert: New Resources to Improve Dementia Care for People Living at Home and Assisted Living

June 16, 2025 – Today LTCCC is releasing its new Dementia Care in the Community Toolkit, a free online resource developed to support high-quality, person-centered dementia care for individuals living at home or in assisted living.

A growing number of people living with dementia receive care outside of nursing homes, yet there are no federal […]

External Resources: Hospice and Palliative Care

As dementia progresses, individuals and their families may face complex decisions about care, comfort, and quality of life. This page offers resources on hospice and palliative care to support compassionate, person-centered approaches during the later stages of dementia. These resources provide guidance on managing pain and distress, honoring individual values and goals, and navigating end-of-life […]

External Resources: Dementia Care Trainings and Toolkits

High-quality dementia care starts with informed, compassionate caregivers. This page provides resources for dementia care trainings designed to strengthen knowledge, build practical skills, and promote person-centered approaches across all care settings. Whether you’re a family member, home care aide, assisted living staff member, or healthcare professional, these training programs offer valuable guidance on communication, behavior […]

External Resources: Pressure Ulcers and Urinary Tract Infections

Individuals living with dementia are at increased risk for preventable health issues like pressure ulcers and urinary tract infections (UTIs), especially when mobility or communication is limited. These conditions can cause significant pain, distress, and complications if not addressed promptly. This page includes resources to help caregivers and providers recognize early signs, implement prevention strategies, […]

External Resources: Nutrition and Hydration

Proper nutrition and hydration are critical to the health and well-being of individuals living with dementia, yet cognitive and physical changes can make eating and drinking more challenging over time. This page features resources to help caregivers and care providers support safe, enjoyable mealtimes and prevent common issues like weight loss, dehydration, and swallowing difficulties.

[…]

External Resources: Dementia Appropriate Activities

Engaging in meaningful activities is essential to maintaining quality of life for individuals living with dementia. The right activities can support emotional well-being, preserve abilities, and reduce distress. This page offers resources with ideas and guidance for selecting and adapting activities that match a person’s interests, history, and current capabilities. Whether in the home, in […]

External Resources: Psychotropic Drugs

Psychotropic drugs—such as antipsychotics, antidepressants, and sedatives—are sometimes prescribed to individuals living with dementia to manage behavioral symptoms. However, these medications carry serious risks and are not the most effective or appropriate response. This page includes resources to help families, caregivers, and professionals understand the potential harms, explore safer alternatives, and make informed decisions about […]

External Resources: Therapy Services

Therapy services can play a vital role in supporting the health, independence, and quality of life of individuals living with dementia. This page includes resources on occupational, physical, and speech therapy interventions that are tailored to the unique needs and abilities of people with dementia. These services can help maintain functional skills, reduce fall risk, […]

External Resources: Informed Consent

Informed consent is a fundamental right that ensures individuals understand and voluntarily agree to decisions about their care. For people living with dementia, navigating consent can become more complex as cognitive changes progress. This page includes external resources to help caregivers, families, and professionals support ethical, person-centered decision-making.

Resources

A Practical Guide to […]

External Resources: Home Safety

Creating a safe and supportive home environment is essential for individuals living with dementia. This page includes resources to help caregivers, families, and care providers identify and reduce potential hazards, promote independence, and respond to changing needs over time. From practical home modification tips to guidance on preventing wandering and falls, these tools can support […]

External Resources: Dementia-Friendly Initiatives

This page features a selection of external resources on innovative, dementia-friendly initiatives designed to enhance quality of life and promote dignity for individuals living with dementia. From small-scale, homelike models of care to larger community concepts like dementia villages, these approaches emphasize safety, autonomy, and social connection. Whether you’re a caregiver, advocate, policymaker, or provider, […]

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