Reports & Studies

The Accountability Gap: A National Examination of Nursing Home Oversight And Enforcement, 2022–2024

This study assessed nursing home oversight and enforcement of minimum standards in the three year period following the COVID-19 public health emergency (2022-2024). Findings are based on federal data on (1) state and national citations, (2) quality measures, and (3) staffing.

In addition to the study, this page provides searchable […]

Policy Brief: Nursing Homes Expanding into Hospital-Level Procedures Despite Ongoing Quality and Staffing Failures

Download a PDF of the policy brief.

Why This Matters

A recent McKnight’s Long-Term Care News article highlighted a Pennsylvania nursing home reportedly performing its first onsite bronchoscopy — a procedure typically associated with hospitals and specialty medical centers. The article presented the procedure as part of an emerging […]

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 […]

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.

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 […]

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: 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’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, […]

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 […]

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 […]

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 […]

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 […]

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.

CLICK ON THE MAP BUTTON TO […]

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, […]

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