Enforcement

LTCCC Alert: New Data on Nursing Home Citations and Penalties

July 18, 2024 – The Long Term Care Community Coalition (LTCCC) has released new, interactive data tools with the latest federal information on nursing home citations and penalties. These user-friendly datasets are critical for understanding enforcement actions in nursing homes and evaluating the quality of care provided to […]

LTCCC Alert: One in Four US Nursing Homes a “Problem Facility”

June 21, 2024 – 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 with federal data on five-star ratings, ownership type, enforcement, and other important information for the nearly 15,000 U.S. nursing homes in the federal CMS dataset. […]

LTCCC Alert: Antipsychotic Drugs Administered to More Than One in Five Nursing Home Residents

Click to download user-friendly, searchable data on AP drugging rates for Q4 2023.

June 3, 2024 – Each week, dangerous antipsychotic (AP) drugs are administered to approximately 250,000 nursing home residents, often without clinical justification. These medications pose significant risks for elderly individuals, including heart attacks, strokes, Parkinsonism, falls, and even death. […]

LTCCC Alert: New Federal Reports Raise Alarms About Fundamental Nursing Home Resident Rights

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 […]

LTCCC Alert: Alarming Rate of Antipsychotic Drugging in US Nursing Homes

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 […]

LTCCC Alert: New Year, New Data

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, […]

Resources for Surveyors

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 […]

F-tags

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 […]

Double G Citations

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 […]

Federal Contacts for Nursing Home Complaints

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 […]

LTCCC Alert: New Data Report Finds One in Six U.S. Nursing Homes is a “Problem Facility”

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 […]

Problem Facilities: SFFs and One-Star Nursing Homes (2021)

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 […]

US Nursing Home Infection Control & Prevention Citations: March 2020

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 […]

US Nursing Home Citations: 9/1/16 – 8/31/19 (November 2019)

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:

  1. Files are provided for each state as well […]

Alert: Illinois Poorly Performing Nursing Homes (September 2019)

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.

CLICK ON THE MAP BUTTON TO OPEN […]

Alert: New York Poorly Performing Nursing Homes (September 2019)

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.

CLICK ON THE MAP BUTTON TO […]

Alert: Pennsylvania Poorly Performing Nursing Homes (September 2019)

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.

CLICK ON THE MAP BUTTON TO […]

Alert: Oregon Poorly Performing Nursing Homes (September 2019)

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.

CLICK ON THE MAP BUTTON TO […]

Alert: Ohio Poorly Performing Nursing Homes (September 2019)

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.

CLICK ON THE MAP BUTTON TO OPEN […]

Alert: New Jersey Poorly Performing Nursing Homes (September 2019)

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.

CLICK ON THE MAP BUTTON […]

Alert: Massachusetts Poorly Performing Nursing Homes (September 2019)

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.

CLICK ON THE MAP BUTTON TO […]

Alert: Indiana Poorly Performing Nursing Homes (September 2019)

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.

CLICK ON THE MAP BUTTON TO […]

Alert: Iowa Poorly Performing Nursing Homes (September 2019)

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.

CLICK ON THE MAP BUTTON TO […]

Special Focus Facility Candidate List: July 2019

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 […]

2023-08-01T12:58:26-04:00Enforcement|

US Nursing Home Infection Control & Prevention Citations: December 2018

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 […]

US Nursing Home Drugging Citations: Fall 2018

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 […]

Fighting the Rollback of Nursing Home Protections

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 […]

One-Star Nursing Homes (April 2018)

This Excel file provides a list of all U.S. nursing homes with a one-star rating on Nursing Home Compare as of April 2018 (data processed by CMS in March 2018). The file is searchable and sortable by state, facility name, location, and ratings for Health Inspections, Quality Measures, and Staffing. Click on the link below […]

US Nursing Home Citations for Transfer and Discharge Deficiencies: February 2018

Unwanted transfers or discharges from a nursing home can be devastating for residents, affecting their physical health and safety, as well as their psychological well-being. According to the Centers for Medicare & Medicaid Services (CMS), inappropriate discharges can cause residents to be “uprooted from familiar settings,” thereby impeding relationships with staff, […]

US Nursing Home Infection Control & Prevention Citations: February 2018

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, needless suffering, and expense among nursing home residents. According to the Office of Disease Prevention and Health Promotion, 380,000 nursing home residents die each year due […]

US Nursing Home Citations: 2014 – 2017 (November 2017)

Following are files for all nursing home citations published on Nursing Home Compare as of November 2017. Nursing Home Compare provides three years of data. Thus, the files include enforcement information from (approximately) fall 2014 to fall 2017.

Important notes on the data provided:

  1. Files are provided for each state as well as a file for […]

US Nursing Home Inappropriate Drugging Citations: November 2017

The inappropriate antipsychotic drugging of nursing home residents is a widespread and serious problem.  Below is information on citations for inappropriate drugging for all licensed nursing homes, by state.  These citations are for all inappropriate drugging, including (but not solely) antipsychotic drugs (unfortunately, the federal government does not have a distinct citation for inappropriate antipsychotic […]

US Nursing Home Antipsychotic Drugging Rates: 2017Q3

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 2017. We also recommend viewing our page on nursing home citations for inappropriate antipsychotic drugging, our Issue Alert on Antipsychotic Drugging […]

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