The Federal Nursing Home Staffing Standard
Download a PDF of LTCCC’s brief.
On April 22, 2024, the federal Centers for Medicare and Medicaid Services (CMS) issued its final rule mandating minimum nurse staffing in every nursing home that accepts Medicaid and/or Medicare funds. This includes virtually all U.S. nursing homes.
This page provides information and resources for the […]
24-Hour Registered Nurses in Nursing Homes: Affordable, Attainable, & Necessary
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 […]
Pulling teeth: Elder Justice “No Harm” Newsletter (Volume 5, Issue 2)
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 […]
Black box warning: Elder Justice “No Harm” Newsletter (Volume 5, Issue 1)
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 […]
New Year, New Newsletter
Happy new year, reader! Thank you for your new or continued support of our mission. This year, we are changing up the quarterly LTC Journal to deliver you more timely information on a monthly basis and to better keep you up to date about what’s happening at NursingHome411! If you haven’t already, be sure […]
Poisoned: Elder Justice “No Harm” Newsletter (Volume 4, 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 […]
Fall 2022 LTC Journal
The LTC Journal covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
- New federal guidance for nursing home surveyors to strengthen safety and accountability.
- LTCCC’s Q1 2022 staffing report showing nursing home staff turnover at 53.3%.
- A report detailing how real estate […]
‘Ouch, you’re hurting me’: Elder Justice “No Harm” Newsletter (Volume 4, 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 […]
‘I am afraid’: Elder Justice “No Harm” Newsletter (Volume 4, 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 […]
Summer 2022 LTC Journal
The LTC Journal covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
- Unsafe antipsychotic alternatives on the rise.
- Louisiana nursing home owner arrested for felony fraud and cruelty.
- RN staffing levels down 12% in 2021.
- Infection control compromised during pandemic.
Spring 2022 LTC Journal
The Spring LTC Journal is here! The LTC Journal covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
- Important White House nursing home initiatives.
- Insights and recommendations for direct care minimum spending laws.
- NY Department of Health’s […]
LTCCC Policy Brief: Nursing Home Transparency
Nursing Home Transparency: A Critical Tool to Improve the Quality of Nursing Home Care
Why is it so difficult to hold nursing homes accountable for providing the level of care for which they are being paid? How can it be […]
Nursing Homes Fail US Veterans: Elder Justice “No Harm” Newsletter (Volume 4, Issue 3) GalleryNursing Homes Fail US Veterans: Elder Justice “No Harm” Newsletter (Volume 4, Issue 3)
Elder Justice Newsletter, New Jersey, New York, Oregon, Reports & Studies, South Carolina, Texas, Uncategorized, Washington
Nursing Homes Fail US Veterans: Elder Justice “No Harm” Newsletter (Volume 4, Issue 3)
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 […]
‘There’s just no time for those things’: Elder Justice “No Harm” Newsletter (Volume 4, Issue 2) Gallery‘There’s just no time for those things’: Elder Justice “No Harm” Newsletter (Volume 4, Issue 2)
Elder Justice Newsletter, Hawaii, New Hampshire, New York, Pennsylvania, Reports & Studies, Uncategorized, Vermont, Wisconsin
‘There’s just no time for those things’: Elder Justice “No Harm” Newsletter (Volume 4, Issue 2)
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 […]
LTCCC Policy Brief: Direct Care Minimum Spending Laws
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 […]
LTCCC Applauds Governor Hochul’s Decision to Implement Vital Nursing Home Resident Protections
The safety and dignity of vulnerable residents and care staff will greatly improve when nursing homes comply with New York’s long anticipated reforms.
April 1, 2022 – For decades, both federal and state minimum standards have mandated that nursing homes have […]
LTCCC Policy Brief: New York’s Direct Care Minimum Spending Ratio
In April 2021, a law was passed in New York establishing new requirements for how much the state’s nursing homes must spend on care for their residents and setting forth limits on what nursing homes may spend on […]
Winter 2022 LTC Journal
The Winter LTC Journal is here! The LTC Journal covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
- How lax enforcement exposes residents to substandard care.
- Latest data show nursing homes failing to provide sufficient staffing.
- Federal […]
‘The food was always cold’: Elder Justice “No Harm” Newsletter (Volume 4 Issue 1)
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 rarely result in fines or […]
2021: Elder Justice “No Harm” Deficiencies Gallery2021: Elder Justice “No Harm” Deficiencies
Arizona, Arkansas, Colorado, Delaware, District of Columbia, Elder Justice Newsletter, Indiana, Kentucky, Louisiana, Maine, Mississippi, Nevada, New Mexico, New York, North Carolina, North Dakota, Oklahoma, Reports & Studies, Rhode Island, South Carolina, Uncategorized, Utah, Vermont, West Virginia, Wyoming
2021: Elder Justice “No Harm” Deficiencies
The Elder Justice Newsletter provides examples of health violations in which surveyors (nursing home inspectors) identified neither harm nor immediate jeopardy to resident health, safety, or well-being. Below is a searchable issue guide that includes the “no harm” deficiencies featured in our Elder Justice Newsletter in 2021. You may also access individual issues using the […]
LTCCC Alert: Nursing Home Staffing Levels Drop in Q2 2021
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 […]
LTCCC Alert: Oversight Overlooked in New York Nursing Homes
NY ranks last in citation rates despite widespread substandard care and neglect.
Fundamentally, a state’s oversight of nursing home care boils down to two components: (1) its ability to identify and cite a facility when a failure to meet standards (i.e., a deficiency) exists and (2) its ability to appropriately rate the deficiencies […]
LTCCC Alert: Lax Enforcement Exposes Nursing Home Residents to Substandard Care & Neglect
Federal Data Indicate That Longstanding Problems Are Systematically Ignored or Downgraded by the State Agencies Charged With Protecting Residents
Contact: Richard Mollot, richard@ltccc.org, 212-385-0356
October 29, 2021 – Today the Long Term Care Community Coalition (LTCCC) is releasing a new report, Broken Promises: An Assessment of Federal Data on Nursing Home Oversight, providing the results […]
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 […]
LTCCC Statement: Time for Quality Assurance, Accountability, & Reform in New York Long-Term Care
As we emerge from the pandemic, New York must address the epidemic of nursing home abuse and neglect.
COVID-19 has caused unprecedented devastation and tragedy in nursing homes. Years of understaffing, poor infection control, and ineffective […]
LTCCC’s Letter to Governor Hochul: Act Quickly to Protect the Lives and Dignity of LTC Residents
Dear Governor Hochul:
Welcome to your new office – we are excited to work with your administration to promote the health and well-being of New York seniors, disabled individuals, and families.
We are writing today to urge you to use your new office to act quickly to protect the lives and dignity of residents in nursing homes, […]
Summer 2021 LTC Journal
The Summer LTC Journal is here! The LTC Journal covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
- LTCCC’s recommendations for addressing longstanding gaps in nursing home accountability.
- How CMS can improve staffing data accuracy.
LTCCC Alert: Most U.S. Nursing Homes Fell Short of Federal Staffing Threshold in Q1 2021
The following is an alert for the Q1 2021 staffing report. To access the report, click here.
Death by Asphyxiation: Elder Justice “No Harm” Newsletter (Volume 3 Issue 8)
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 […]
Framework for Nursing Home Reform Post-Covid
The Long Term Care Community Coalition, along with California Advocates for Nursing Home Reform, Center for Medicare Advocacy, Consumer Voice, Justice in Aging, and Michigan Elder Justice Initiative, developed a framework to address longstanding problems in nursing homes. The framework provides recommendations in six critical areas that need reform: (1) staffing and workforce; (2) regulation […]
Six Pounds Down: Elder Justice “No Harm” Newsletter (Volume 3 Issue 7)
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 […]
Recommendations for Improving Nursing Home Safety, Dignity, & Financial Integrity
Download LTCCC’s recommendations for improving nursing home safety, dignity, and financial integrity or read the pdf below.
LTCCC Alert: Three in Four U.S. Nursing Homes Understaffed in Second Wave
The following is an alert for the Q4 2020 staffing report. To access the report, click here.
Weeks Without a Shower: Elder Justice “No Harm” Newsletter (Volume 3 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 […]
LTCCC Alert: Speak Out on NY Nursing Home Staffing Bill
Take action and contact your legislators
Below is LTCCC’s statement about New York’s new staffing bill. See also: LTCCC’s joint press release with other consumer groups on the staffing bill. Consumer Groups: NY Staffing Bill Misses the Mark
Spring 2021 LTC Journal
The Spring LTC Journal is here! The LTC Journal covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
- A report challenging the theory that a nursing home’s location is the biggest determinant of COVID-19 transmission.
- New York’s failure to ensure nursing homes’ compliance with minimum […]
LTCCC Alert: New Data on Nursing Home Ratings and Problem Facilities
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.
Winter 2021 LTC Journal
The Winter LTC Journal is here! The LTC Journal covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
- How the Federal Government’s inaction led to 11 nursing home deaths per hour.
- The COVID-19 pandemic’s disproportionate toll on nursing homes with higher shares of Black or […]
Alert: As Resident Population Shrinks, Nursing Homes Remain Understaffed
The following is an alert for the Q3 2020 staffing report. To access the report, click here.
LTC Medicaid Funding: Separating Fact From Fiction
Download LTCCC’s new policy brief, “LTC Medicaid Funding: Separating Fact from Fiction” or read directly from the document below.
*Document updated September 2023
2020: Elder Justice “No Harm” Deficiencies
The Elder Justice Newsletter provides examples of health violations in which surveyors (nursing home inspectors) identified neither harm nor immediate jeopardy to resident health, safety, or well-being. Below is a searchable issue guide that includes the “no harm” deficiencies featured in our Elder Justice Newsletter in 2020. You may also access individual issues using the […]
LTCCC Report: Regional Variations of Nursing Home Quality & Oversight in NY
The following report presents the findings of LTCCC’s regional analysis of New York State nursing home care.
In addition to the report, we have developed a searchable table with relevant information on all nursing homes in the state, including ratings, ownership type, staffing levels, and fines for substandard care. Nursing homes can also be searched and […]
LTCCC Report: Animal Care Standards vs. Nursing Home Resident Experiences
The quality and safety of nursing homes are longstanding public concerns. Numerous studies over the years have identified widespread and significant deficiencies in care, including serious abuse and neglect, and degrading, inhumane conditions.
In light of these concerns, and the widespread persistence of substandard care and abuse, we undertook this analysis to compare the experiences of […]
LTCCC Statement for Congressional Hearing: Caring for Aging Americans
On November 14, 2019, The U.S. House Ways & Means Committee held a hearing, Caring for Aging Americans. LTCCC’s executive director, Richard Mollot, testified at the hearing on the serious challenges facing individuals and families who turn to nursing homes and assisted living for residential care. On the right is Richard’s opening statement to the […]
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.
Joint Comments on Proposed Revision of Federal Nursing Home Requirements
Following is a draft of the comments that LTCCC and the Center for Medicare Advocacy will be submitting in response to the Trump Administration’s proposal to reduce federal standards for nursing homes. We are providing this draft to the public in advance of submission so that others may review before the submission deadline (September 16, […]
Nursing Home Residents At Risk: Proposals To Reduce Survey Frequency For “Top-Performing” Nursing Homes Are Dangerous
Speak Out Against Efforts to Weaken Oversight of Nursing Homes