Download a PDF of this alert.
April 4, 2024 – The inappropriate transfer or discharge of nursing home residents has been a longstanding concern for residents, their families, and policymakers. Far too often, residents are pushed out of their nursing home – which is their home – for inappropriate and illegal reasons. This can […]
Click to download user-friendly data on AP drugging rates for NY nursing homes in Q3 2023.
March 18, 2024 – Each week, roughly 250,000 nursing home residents are given dangerous antipsychotic (AP) drugs. In most cases these dangerous drugs are administered without clinical justification.
AP drugs are associated with significant adverse outcomes […]
The following is an alert for the Q3 2023 staffing report. Download data at NursingHome411 and check out our interactive staffing map.
February 28, 2024 – Federal law requires all nursing homes to provide a sufficient level of staffing so that residents
President Biden has promised to reform nursing homes by setting a national minimum staffing standard. Unfortunately, the proposed rule is woefully inadequate to meet residents’ needs. To highlight these concerns, LTCCC has gathered comments from a wide […]
The Long Term Care Community Coalition is pleased to announce the publication of four new interactive and user-friendly nursing home datasets: Provider Info, Citations, Penalties, & Staffing. These data, […]
Contact: Richard Mollot, 212-385-0356, richard@ltccc.org
December 21, 2023 – For decades, the U.S. nursing home industry has blamed inadequate funding for failures to provide sufficient staffing and services to meet […]
The following is an alert for the Q2 2023 staffing report. Download data at NursingHome411 and check out our interactive staffing map.
November 14, 2023 – Each day, more than one million people reside in roughly 15,000 nursing homes across the United States. Unfortunately, most of these individuals have no choice but to […]
President Biden has promised to reform nursing homes by setting a national minimum staffing standard. Unfortunately, the proposed rule is woefully inadequate to meet residents’ needs. LTCCC submitted the below comments, and although the public comment period concluded, there’s still time to make your voice heard.
Please consider sharing your comments with your Senators and […]
September 27, 2023 – Every U.S. nursing home is required to provide skilled nursing care and monitoring 24-hours a day, seven days a week. Unfortunately, too many of our nursing homes provide substandard care and conditions that are demeaning and inhumane. As the country has witnessed in the COVID-19 pandemic, too many nursing homes are […]
The following is an alert for the Q1 2023 staffing report. Download data at NursingHome411 and check out our interactive staffing map.
September 22, 2023 – Nursing home residents need a minimum of 4.1 total care staff hours per resident day (HPRD) to receive sufficient clinical care and avoid unnecessary harm, according to […]
Essential Insights on Nursing Home Staffing and the Proposed Federal Standard, presented by: Center for Medicare Advocacy, Long Term Care Community Coalition, and National Consumer Voice for Quality Long-Term Care (September 2023).
Presenters: Richard Mollot (LTCCC), Sam Brooks (Consumer Voice), Toby Edelman (Center for Medicare Advocacy), Charlene Harrington (University of […]
The following is an alert for the Q4 2022 staffing report. Download data at NursingHome411 and check out our interactive staffing dashboard.
July 13, 2023 – Sufficient staffing is attainable. In fact, one in four U.S. nursing homes (25.3%) provide at least 4.1 hours per resident day (HPRD), the minimum […]
April 14, 2023
Re: CMS-6084-P; Disclosures of Ownership and Additional Disclosable Parties Information for Skilled Nursing Facilities and Nursing Facilities
Submitted electronically: www.regulations.gov
Dear Administrator Brooks-LaSure:
The Long Term Care Community Coalition (LTCCC) is a national non-profit organization dedicated to improving care, quality of life, and dignity for residents in nursing […]
Check out LTCCC’s Guide to State CNA Certification & Training Requirements.
March 17, 2023 – Certified Nurse Aides (CNAs) are considered the backbone of nursing home care.
The following is an alert for the Q3 2022 staffing report. Download data at NursingHome411 and check out our interactive staffing dashboard.
March 9, 2023 – A nursing home administrator is responsible for overseeing their facility, including clinical and administrative affairs, to ensure that resident care needs are met. According to federal law, […]
Presenter:
Richard Mollot (LTCCC)
PowerPoint Slides (PDF) Fact Sheet: Nurse Aide Training Requirements
Contact: Richard Mollot, richard@ltccc.org, 212-385-0356
December 20, 2022 – More than one million people live in US nursing homes and each week, one in five of them are given dangerous antipsychotic (AP) drugs. In most cases these drugs are administered without clinical justification. In 2012, the federal Centers for Medicare and Medicaid Services […]
In June 2022, the Centers for Medicare & Medicaid Services (CMS) published revised guidance for nursing home surveyors available in the links below. Appendix PP provides interpretive guidelines for long-term care facilities. Critical Element Pathways* are used for investigating potential care areas of concern. Surveyors will begin using this guidance to identify noncompliance on October […]
The NursingHome411 Podcast
U.S. health care is plagued by racism, and nowhere is that more evident than in the nation’s 15,000 nursing homes. Whether it’s COVID, care quality, or inappropriate drugging, research consistently shows significant disparities that impact Black nursing home residents.
On this episode of the NursingHome411 Podcast, Dr. Shekinah Fashaw-Walters – Assistant Professor at […]
The following is an alert for the Q1 2022 staffing report. To access the report, click here.
August 24, 2022 – Staff retention is essential for nursing homes to provide quality care for their residents. Unfortunately, turnover continues to be a major problem for many of the nation’s 15,000-plus facilities. The average nursing home […]
F-tags (“F” for “federal”) constitute the system through which federal nursing home regulations are identified in the survey process. Generally, each regulatory provision is assigned a corresponding F-tag number and surveyors use these numbers to indicate on the Statement of Deficiencies when a facility has failed to meet (or exceed) a given standard. Below is […]
Presenters: Richard Mollot (LTCCC) and Tony Chicotel (CANHR)
PowerPoint Slides (PDF) Dementia Care Advocacy Toolkit AP Drugging Data
The following is an alert for the Q4 2021 staffing report. To access the report, click here.
June 9, 2022 – Registered nurses (RNs) serve a critical role in every nursing home staff. They provide expertise – infection control planning and management, resident assessment and care planning, and the identification and treatment of chronic […]
Concrete, clear, and appropriate minimum staffing standards are needed now to finally realize the promise of the Nursing Home Reform Law in the lives of residents and the vast majority of American families who will depend on nursing home services at some time or another. In April 2022, the Centers for Medicare & Medicaid Services […]
Presenters: Richard Mollot (LTCCC), Sam Brooks (Consumer Voice), Lori Smetanka (Consumer Voice)
PowerPoint Slides PT 1 (PDF) PowerPoint Slides PT 2 (PDF)
As of May 2022, LTCCC is no longer updating this page. Visit NY Health website for updated COVID-19 data.
LTCCC is providing a user-friendly spreadsheet tracking COVID-19-related deaths from New York’s nursing homes (NHs), assisted living facilities (ALFs), and other adult care facilities (OACFs) based on New York Department of Health […]
What is a Double G Citation?
“Double G” cases refer to a CMS policy intended to identify and address facilities with a historical pattern of high-level noncompliance. Double G citations occur when a facility with a previous citation at a G level is cited again at a G level. G level citations are considered “actual […]
Until recently, nursing homes have not been required to spend a set minimum percentage of the funds they receive on the care of their residents, nor have the public or policymakers had an effective tool to require accountability for these […]
The following is an alert for the Q3 2021 staffing report. To access the report, click here.
March 3, 2022 – Federal requirements mandate that nursing homes have sufficient staff, with the appropriate competencies to meet the clinical, emotional, and psychosocial needs of every resident. Unfortunately, understaffing is a widespread and persistent problem that […]
State survey agencies (usually the state department of health) have primary responsibility to ensure the safety and dignity of nursing home residents 24 hours a day, every day of the year. However, too often, the state agencies fail to effectively monitor facilities or respond to complaints about care. If your state is not sufficiently responsive […]
The following is an alert for the Q2 2021 Antipsychotic Drugging Rates. To access the data, click here.
January 11, 2022
As of December 2021, LTCCC is no longer updating this page. Visit CMS website for updated COVID-19 data.
LTCCC is providing a user-friendly spreadsheet (updated monthly) tracking COVID-19 vaccinations for residents and staff in U.S. nursing homes. Data are reported by nursing homes to the CDC and published by CMS.
Nursing Home Vaccination Data […]
The following is an alert for the Q2 2021 staffing report. To access the report, click here.
November 16, 2021 – Nursing homes with higher staffing levels are better equipped to meet their residents’ care needs. Unfortunately, understaffing has been a widespread and persistent problem, especially since the start of the COVID-19 pandemic.
Today, LTCCC […]
September 30, 2021 – The Long Term Care Community Coalition (LTCCC) regularly publishes data on key indicators relevant to nursing home care. Today, LTCCC is releasing a new report containing federal data on five-star ratings, ownership type, enforcement, and other important information for all 15,000 U.S. nursing homes. The report features a page […]
The following is an alert for the Q1 2021 staffing report. To access the report, click here.
The following is an alert for the Q4 2020 staffing report. To access the report, click here.
LTCCC’s Q4 2020 Staffing Report provides user-friendly files for every state that include facility-level data on: 1) Care staff levels (RN, LPN, and CNA); 2) Important non-nursing staff levels, including administrators and activities staff; 3) Contract workers. The report also includes data on state and national quarterly staffing levels, state and national quarterly resident census […]
As of March 2021, LTCCC is no longer updating this page. Visit CMS website for updated COVID-19 data.
Select the button below to access a user-friendly excel file with facility level COVID-19 nursing home data from the Centers for Medicare & Medicaid Services (CMS). Visit CMS’s COVID-19 Nursing Home Data page for more […]
The following is an alert for LTCCC’s new nursing home data reports for 2021: Nursing Home Ratings & Info, and Problem Facilities. To access the report, click here.
Special Focus Facilities (SFFs) and SFF Candidates are nursing homes that have a history of serious quality issues or are included in the Centers for Medicare & Medicaid Services (CMS) program to stimulate improvements in their quality of care. One-star facilities are assigned the lowest overall rating (one out of five stars) based on health […]
This page contains facility-level data on all U.S. nursing homes including five-star ratings, ownership status, health inspection outcomes, and more. Download individual state files by clicking the state on the map or list below. Download nationwide data here.
Note: Data were obtained from the CMS website (https://data.cms.gov/provider-data/dataset/4pq5-n9py) on February 1, 2021 based on data […]
The following is an alert for the Q3 2020 staffing report. To access the report, click here.
Each file includes information on: 1. Each facility’s RN, LPN, & CNA staffing levels; 2. Staffing levels for important non-nursing staff, including administrators and activities staff; and 3. […]
Note: Not all facilities reported staffing data for Q1 2020 because of suspended reporting requirements due to the COVID-19 pandemic. (11,735 facilities reported staffing data in Q1 2020 vs. 14,969 in Q4 2020). State and national staffing averages for Q1 2020 exclude facilities that did not report.
Each file includes information on:
The inappropriate antipsychotic drugging of nursing home residents is a widespread and serious problem. Below is information on the antipsychotic drugging rates for all licensed nursing homes, by state, for the fourth quarter of 2019. We also recommend viewing our Issue Alert on Antipsychotic Drugging and our Dementia Care Advocacy Toolkit, which includes […]
The inappropriate antipsychotic drugging of nursing home residents is a widespread and serious problem. Below is information on the antipsychotic drugging rates for all licensed nursing homes, by state, for the third quarter of 2019. We also recommend viewing our Issue Alert on Antipsychotic Drugging and our Dementia Care Advocacy Toolkit, which includes […]
Each file includes information on:
Below are links to download data on five-star ratings, special focus facility status, ownership status, health inspection outcomes, location, resident population, and other general information for all U.S. nursing homes. Download individual state files by clicking the state on the map below or in the list at the bottom of the page. Download data on […]
Infection prevention and control programs protect residents from preventable harm, injury, and death. Despite strong regulatory requirements to safeguard residents, infections continue to be a leading cause of death and needless suffering for nursing home residents. According to the Centers for Disease Control and Prevention (CDC), there are an astounding 1.6 to 3.8 million infections […]
Each file includes information on:
To facilitate ease of […]
Staffing is widely considered to be the most important indicator of a nursing home’s safety and quality. This page provides the names of the top ten and bottom ten nursing homes in each state, based upon each facility’s average care staffing for 2019 Q3. Please visit our Nursing Home Data & Information page for […]
Following are files for all nursing home citations published on Nursing Home Compare as of November 20, 2019. Nursing Home Compare provides three years of data. Thus, the files include enforcement information from (approximately) September 1, 2016 to August 31, 2019.
Important notes on the data provided:
Each file includes information on:
To facilitate ease of […]
Staffing is widely considered to be the most important indicator of a nursing home’s safety and quality. This page provides the names of the top ten and bottom ten nursing homes in each state, based upon each facility’s average care staffing for 2019 Q2. Please visit our Nursing Home Data & Information page for […]
Mapping information on nursing home quality, staffing, or other data can be a very useful tool to visualize and compare the state of nursing home care in your state or community. This page provides tips and tools to help the non-expert map publicly available data on nursing homes using the free resources, Tableau Public […]
The following alert provides information on the most poorly performing nursing homes in Illinois, as determined by their status as a Special Focus Facility, Special Focus Facility Candidate, or One-Star Facility. The alert includes information on what these statuses indicate in respect to quality and safety for residents.
The following alert provides information on the most poorly performing nursing homes in New York, as determined by their status as a Special Focus Facility, Special Focus Facility Candidate, or One-Star Facility. The alert includes information on what these statuses indicate in respect to quality and safety for residents.
The following alert provides information on the most poorly performing nursing homes in Pennsylvania, as determined by their status as a Special Focus Facility, Special Focus Facility Candidate, or One-Star Facility. The alert includes information on what these statuses indicate in respect to quality and safety for residents.
The following alert provides information on the most poorly performing nursing homes in Oregon, as determined by their status as a Special Focus Facility, Special Focus Facility Candidate, or One-Star Facility. The alert includes information on what these statuses indicate in respect to quality and safety for residents.
The following alert provides information on the most poorly performing nursing homes in Ohio, as determined by their status as a Special Focus Facility, Special Focus Facility Candidate, or One-Star Facility. The alert includes information on what these statuses indicate in respect to quality and safety for residents.
The following alert provides information on the most poorly performing nursing homes in New Jersey, as determined by their status as a Special Focus Facility, Special Focus Facility Candidate, or One-Star Facility. The alert includes information on what these statuses indicate in respect to quality and safety for residents.
The following alert provides information on the most poorly performing nursing homes in Massachusetts, as determined by their status as a Special Focus Facility, Special Focus Facility Candidate, or One-Star Facility. The alert includes information on what these statuses indicate in respect to quality and safety for residents.
The following alert provides information on the most poorly performing nursing homes in Indiana, as determined by their status as a Special Focus Facility, Special Focus Facility Candidate, or One-Star Facility. The alert includes information on what these statuses indicate in respect to quality and safety for residents.
The following alert provides information on the most poorly performing nursing homes in Iowa, as determined by their status as a Special Focus Facility, Special Focus Facility Candidate, or One-Star Facility. The alert includes information on what these statuses indicate in respect to quality and safety for residents.
The federal government rates all licensed nursing homes on a scale of one to five, with one being the lowest possible rating and five being the highest. While studies have shown that having a high rating does not necessarily mean that a nursing home is safe, substandard care in lower rated facilities has become a […]
Each file includes information on:
To facilitate […]
Staffing is widely considered to be the most important indicator of a nursing home’s safety and quality. This page provides the names of the top ten and bottom ten nursing homes in each state, based upon each facility’s average care staffing for 2019 Q1. Please visit our Nursing Home Data & Information page for […]
The Centers for Medicare & Medicaid Services (CMS) identifies nursing homes with an extremely poor record of resident care for inclusion in Special Focus Facility (SFF) program for enhanced oversight. CMS presently limits the SFF program to just 88 facilities nationwide. However, 441 additional nursing homes have been identified by CMS as SFF candidates as […]
Each file includes information on:
To […]
Pressure ulcer are a major concern for nursing home residents and families and, according to the federal Centers for Disease Control and Prevention, a key indicator of the quality and safety provided in a nursing home. We recommend that the information provided here is used in conjunction with information on […]
Pressure ulcers are serious medical conditions and one of the important measures of the quality of clinical care in nursing homes. — U.S. Centers for Disease Control & Prevention (CDC).
Click on the following links to download the four quarter average pressure ulcer rates posted on Nursing […]
Sufficient staffing is one of the most important indicators of a nursing home’s quality and safety. Unfortunately, inadequate nursing home staffing is a widespread and persistent problem. Some nursing homes provide good care, ensuring that their facilities have enough qualified staff. However, in the absence of limits on profits or administrative expenses, too many nursing […]
Infection prevention and control programs protect residents from preventable harm, injury, and death. Despite strong regulatory requirements to safeguard residents, infections continue to be a leading cause of death and needless suffering for nursing home residents. According to the Office of Disease Prevention and Health Promotion, 380,000 nursing home residents die each year due to […]
Sufficient staffing is one of the most important indicators of a nursing home’s quality and safety. Unfortunately, inadequate nursing home staffing is a widespread and persistent problem. Some nursing homes provide good care, ensuring that their facilities have enough qualified staff. However, in the absence of limits on profits or administrative expenses, too many nursing […]
The inappropriate antipsychotic drugging of nursing home residents is a widespread and serious problem. Below is information on the antipsychotic drugging rates for all licensed nursing homes, by state, for the third quarter of 2018. We also recommend viewing our page on nursing home citations for inappropriate antipsychotic drugging, our Issue Alert on Antipsychotic Drugging […]
The inappropriate antipsychotic drugging of nursing home residents, particularly those with dementia, is a widespread, national problem. Despite the Food and Drug Administration’s ‘black box’ warnings against using antipsychotics on elderly patients, they are frequently used to treat the so-called behavioral and psychological symptoms of dementia. As of fall 2018, 20% of nursing home residents […]
The inappropriate antipsychotic drugging of nursing home residents is a widespread and serious problem. Below is information on the antipsychotic drugging rates for all licensed nursing homes, by state, for the second quarter of 2018. We also recommend viewing our page on nursing home citations for inappropriate antipsychotic drugging, our Issue Alert on Antipsychotic Drugging […]
Sufficient staffing is one of the most important indicators of a nursing home’s quality and safety. Unfortunately, inadequate nursing home staffing is a widespread and persistent problem. Some nursing homes provide good care, ensuring that their facilities have enough qualified staff. However, in the absence of limits on profits or administrative expenses, too many nursing […]
Download File
This file includes, for every nursing home in compliance with federal reporting requirements, the average hours of RN, LPN, and CNA staff time per day for staff that are assigned to provide care (i.e., non-administrative). For each of these categories, the file provides the average total daily hours for the category as […]
Download File
This file contains information on nursing care staff for every licensed nursing home in the United States (that is in compliance with federal staff reporting requirements). It includes average hours per day for RNs, LPNs, and CNAs who the nursing home has designated as providing resident care (i.e., RNs and LPNs who […]
Download File
This file contains select non-nursing staff for every licensed nursing home in the United States (that is in compliance with federal staff reporting requirements). It includes average hours per day for administrators, medical directors, pharmacists, dieticians, activities staff, and social work staff for the quarter. In addition, we have calculated the amount […]
In September 2016, the federal Centers for Medicare & Medicaid Services (CMS) issued revised nursing home regulations that had been thoughtfully developed over four years to promote residents’ health and safety. Now, however, under the current administration, CMS is backtracking and weakening resident protections.
Starting in January 2017, nursing home lobbyists began urging CMS to eliminate […]
The inappropriate antipsychotic drugging of nursing home residents is a widespread and serious problem. Below is information on the antipsychotic drugging rates for all licensed nursing homes, by state, for the first quarter of 2018. We also recommend viewing our page on nursing home citations for inappropriate antipsychotic drugging, our Issue Alert on Antipsychotic Drugging […]
