Reports & Studies

Policy Brief: Nursing Home Funding Adequacy in New York

Tell policymakers: No more funding without real reform! Nursing home operators are seeking more taxpayer dollars—but without real accountability, increased funding won’t improve care for residents. Too often, facilities prioritize profits over people, leading to poor staffing, neglect, and substandard conditions.

Download a PDF of the policy brief.

Issue […]

Special Alert on Staffing Levels in New York Nursing Homes: Insights from Q2 2024 Data

Download Q2 2024 staffing data at NursingHome411 and check out our interactive staffing map.

November 26, 2024  – Federal law mandates that all nursing homes provide sufficient staff to meet the care and quality of life needs of their residents every day. However, new data show that hundreds of thousands of residents live […]

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 […]

LTCCC Alert: New Study Reveals Substantial Hidden Profits in Nursing Home Industry

Read the study on hidden profits in nursing homes, co-authored by LTCCC and published in the International Journal of Social Determinants of Health and Health Services

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 […]

LTCCC Alert: Four in Five Residents Live in Understaffed Nursing Homes

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 […]

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 […]

LTCCC Alert: A 3.0 Staffing Minimum Is Not Enough

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 […]

“Nobody came for over 11 hours”: Elder Justice “No Harm” Newsletter (Volume 5, 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 nursing […]

LTCCC Alert: Most U.S. Nursing Homes Understaffed, Federal Data Finds

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 […]

LTCCC Alert: How Fear of Retaliation Silences Residents in America’s Nursing Homes

Download LTCCC’s Report, “They Make You Pay”: How Fear of Retaliation Silences Residents in America’s Nursing Homes

Contact: Richard Mollot, richard@ltccc.org, 212-385-0356

June 14, 2023 – When […]

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 […]

LTCCC Alert: A Guide to State CNA Certification & Training Requirements

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.

LTCCC Alert: Nursing Home Administrator Hours Down 20% Since Pandemic

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, […]

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 […]

LTCCC Alert: Dangerous Antipsychotic Drugging Persists Despite Federal Partnership

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 […]

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 […]

LTCCC Alert: Nursing Home Staff Turnover Above 50%

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 […]

‘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.

LTCCC Alert: New Federal Guidance to Strengthen Nursing Home Safety, Quality, and Accountability

June 30, 2022 – Surveys (inspections) are the principal mechanism by which the government assesses nursing home quality and determines compliance with standards of care. Unfortunately, as previous LTCCC studies have shown, State Survey Agencies (SAs) – which are charged with monitoring care, responding to complaints, and ensuring compliance with minimum standards – too […]

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 Alert: RN Staffing Levels Drop 12% in 2021

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 […]

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)

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 […]

Staffing Levels Fall 8% in Six Months

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 […]

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

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 […]

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 […]

He Thought They Knew What They Were Doing: Elder Justice “No Harm” Newsletter (Volume 3 Issue 5)

Click to download the newsletter or read it in the PDF below.

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 […]

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 […]

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