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 […]
August 31, 2026 – New federal data show that chronic understaffing continues to affect the overwhelming majority of U.S. nursing homes. According to LTCCC’s analysis of Q1 2026 federal staffing data, 88% of nursing […]
This program provides an updated look at nursing home performance in the Hudson Valley region, with a focus on nurse staffing levels, expected staffing needs, and differences in staffing on weekends and holidays. The data show that Hudson Valley nursing homes continue to experience significant staffing shortfalls, with average staffing below […]
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 […]
Five Years After COVID Pandemic Ravages Nursing Homes, State Issues Plan to Reduce Nurse Aide Training by 25%
Contact: Richard Mollot, richard@ltccc.org or 212-385-0356
NEW YORK, NY, July 14, 2026 — The Long Term Care Community Coalition (LTCCC) today called on the New York State Department of Health (DOH) to withdraw its plan […]
This program provides a live demonstration of LTCCC’s data visualization platform, highlighting how it can be used to examine key indicators in Hudson Valley nursing homes, compare local facility performance with state and national benchmarks, and identify trends that can inform advocacy, oversight, and quality improvement efforts. The program also offers practical guidance on […]
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 […]
This program explores how legislators, district office staff, and community partners can better support constituents and families navigating the challenges of dementia caregiving. Legislative offices are often contacted during moments of crisis — when families are overwhelmed by behavior changes, safety concerns, caregiver burnout, conflicts about care decisions, or uncertainty about available services […]
This program explores how professionals and community-based organizations can better support older adults and families navigating the challenges of dementia care. Professionals are often called upon during moments of crisis — when families are overwhelmed by behavior changes, safety concerns, caregiver burnout, conflicts about care decisions, or uncertainty about available services and next […]
May 18, 2026 – New federal data reveal that the overwhelming majority of U.S. nursing homes are operating with insufficient staffing to meet the basic needs of their residents. According to LTCCC’s report on […]
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
May 15, 2026.
May 8, 2026 – The Long Term Care Community Coalition (LTCCC) today released new, facility-level data on antipsychotic (AP) drugging in U.S. nursing homes, highlighting both the continuing prevalence of antipsychotic use and disturbing limitations in the publicly available federal data. US AP Drugging Q4 2025
Antipsychotic drugs are powerful medications associated with […]
This program explores how employers, HR professionals, and workplace leaders can better support employees who are caring for a family member or loved one living with dementia. Many employees balance work responsibilities with the emotional and practical demands of caregiving, often experiencing stress, burnout, schedule disruptions, and reduced productivity. The session highlights the […]
This program explores how assisted living and home care providers can strengthen their approach to supporting individuals living with dementia through practical, person-centered strategies. Staff often encounter complex care situations and may feel uncertain about how to respond to changing communication, behaviors, and needs. The session highlights common challenges in dementia care and […]
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
April 30, 2026.
This program explores how faith communities can play a meaningful role in supporting individuals caring for loved ones living with dementia. Caregiving is often an invisible and isolating experience, and many caregivers within congregations may be struggling without openly asking for help. The session highlights the unique opportunity for faith leaders and community members to […]
This program provides an updated look at nursing home performance in the Hudson Valley region, with a focus on staffing levels, federal quality ratings, and antipsychotic drugging trends. The program also offers practical guidance on dementia care standards and residents’ rights, including the appropriate use of antipsychotic medications, the importance of informed consent, and the […]
March 13, 2026 – The Long Term Care Community Coalition is pleased to release two new data reports: Nursing Home Citations and Nursing Home Penalties. These user-friendly datasets allow consumers to identify when their facility has been cited for failing to meet minimum standards and enable journalists, policymakers, and researchers to identify […]
Give Nursing Home Residents the Basics They Deserve—Raise the PNA
March 6, 2026 – The Personal Needs Allowance (PNA) in New York has been stuck at $50 per month for over three decades. The dignity of our elders and individuals with disabilities should never be compromised by financial hardship, yet for too […]
March 5, 2026 – New federal data reveal that the overwhelming majority of U.S. nursing homes are operating with insufficient staffing to meet the basic needs of their residents. According to LTCCC’s report on […]
This program provides an updated look at regional nursing home performance, with a focus on staffing levels, quality ratings, pressure ulcer rates, and antipsychotic drugging trends. In addition to the data briefing, the program offers practical guidance on addressing care concerns, including residents’ rights, strategies for escalating unresolved issues, and options for seeking help both […]
January 16, 2026 – New federal data reveal that the overwhelming majority of U.S. nursing homes are operating with insufficient staffing to meet the basic needs of their residents. According to LTCCC’s report on […]
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 […]
This program provides an updated look at regional nursing home performance, with a focus on staffing levels, quality ratings, pressure ulcer rates, and antipsychotic drugging trends. In addition to the data briefing, the program offers practical guidance on addressing care concerns, including residents’ rights, strategies for escalating unresolved issues, and options for seeking help both […]
This page provides a one-stop access point to LTCCC’s staffing data, analyses, and practical tools.
Staffing is the most important indicator of a nursing home’s safety and quality. Under federal law, facilities must have sufficient nursing staff with appropriate competencies and skill sets to ensure each resident attains or maintains the highest practicable well‑being based on […]
This program presents the latest Hudson Valley nursing home staffing data, offering insights into current trends and facility performance across the region. It also guides participants on how to access and effectively use the data to support advocacy and oversight efforts. The program concludes with a discussion on the power of family councils, highlighting how […]
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 […]
August 27, 2025 – On August 25, NY Attorney General James announced a significant settlement against a major New York nursing home chain, the Upstate Services Group, which operates 17 nursing homes across the state. The facility at the focus of this action, the Van Duyn nursing home in […]
August 25, 2025 – Today LTCCC is releasing its latest quarterly report on the staffing levels for every U.S. nursing home (in compliance with federal reporting requirements). These data, accessible to the public at […]
This program features attorney and resident advocate Deborah Truhowsky as she shares practical strategies for preventing, identifying, and reporting nursing home abuse and neglect, including common warning signs, intervention options, and residents’ rights under New York regulations. In addition, it provides a data-driven look at nursing home quality and safety in the Hudson Valley, highlighting […]
We’re excited to introduce our new Hudson Valley Nursing Home Update newsletter—a resource designed to keep you informed and empowered on issues impacting nursing home residents across the region. Read the July 2026 newsletter below or download a PDF.
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 […]
June 16, 2025 – Today LTCCC is releasing its new Dementia Care in the Community Toolkit, a free online resource developed to support high-quality, person-centered dementia care for individuals living at home or in assisted living.
A growing number of people living with dementia receive care outside of nursing homes, yet there are no federal […]
This program offers an in-depth look at how Hudson Valley nursing homes are performing, including staffing levels, ownership, inspection results, and compliance with state and federal standards. It highlights which facilities are meeting New York’s minimum staffing requirements and identifies areas of concern. The resident rights portion focuses on protections against inappropriate discharge or transfer, […]
June 4, 2025 – Today LTCCC is releasing its latest quarterly report on the staffing levels for every U.S. nursing home (in compliance with federal reporting […]
May 2, 2025 – New federal data reveal that the overwhelming majority of U.S. nursing homes are operating with insufficient staffing to meet the basic needs […]
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 […]
This presentation provides an in-depth update on how nursing homes in the Hudson Valley region compare in quality and staffing, using the latest CMS data. It also focuses on residents’ rights related to pressure ulcer care, highlighting federal standards, prevention strategies, and how families and advocates can use this information to promote better care.
The button […]
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 […]
Give Nursing Home Residents the Basics They Deserve—Raise the PNA
March 8, 2025 – The Personal Needs Allowance (PNA) in New York has been stuck at $50 per month for over three decades. The dignity of our elders and individuals with disabilities should never be compromised by financial hardship, yet for too […]
This presentation provides a comprehensive update on nursing home care in the Hudson Valley. It highlights the ongoing challenges in staffing and oversight, emphasizing the correlation between nurse staffing levels and quality. The presentation features key data insights, regulatory requirements, and advocacy tools to empower families, community leaders, and long-term care ombudsmen […]
January 27, 2025 – The Long Term Care Community Coalition is pleased to announce the release of new, interactive data […]
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 […]
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
December 16, 2024.
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 […]
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
December 4, 2024.
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 […]
November 21, 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 […]
Presenters: Elizabeth Speidel (Director of Community Engagement) and NJ Nursing Home Residents Glenn Osborne, Ray DiFrancesco, Gail Smith, and Martha Robinson
VIDEO: In Their Own Words: People Living in Nursing Homes
Questions about doing this work? Contact Community@ltco.nj.gov!
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
November 15, 2024.
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 […]
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
October 15, 2024.
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
September 30, 2024.
Subscribe to LTCCC’s Senior Care Policy Brief
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
September 17, 2024.
The Brief recently highlighted the […]
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
September 4, 2024.
August 26, 2024 – Today, LTCCC is posting its latest report on staffing levels in U.S. nursing homes. LTCCC’s report is based on CMS’s Q1 2024 payroll-based journal data on nurse […]
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 […]
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 […]
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
April 15, 2024.
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
March 29, 2024.
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
February 29, 2024.
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
February 15, 2024.
Sign up for LTCCC’s Policy Brief
February 13, 2024 – Nursing home residents are among the most vulnerable members of our society. However, the nursing homes in which they live are often riddled with neglect, abuse, and substandard care. Addressing these issues is paramount for ensuring that nursing home residents receive the highest […]
February 7, 2024 – Too many New York nursing home owners and operators are skimping on staffing and services, profiting at the expense of nursing home residents’ basic dignity and safety[1] as a result of lax monitoring and oversight. […]
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
February 2, 2024.
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
January 19, 2024.
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
December 28, 2023.
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
December 19, 2023.
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
November 30, 2023.
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 […]
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research. In this edition…
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research. In this edition…
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research. In this edition…
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 […]
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
LTCCC submitted an amicus brief (also referred to as a “friend of the court” brief) in the case against the administrator and medical director of the Soldiers’ Home in Holyoke, Massachusetts related to COVID-19 deaths. An amicus brief […]
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
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 […]
At New York’s Assembly Public Hearing on the Long-Term Care Ombudsman Program on March 2, 2023, LTCCC Policy Researcher Stefan Foster discusses why New York’s Long Term Care Ombudsman Program (LTCOP) needs more funding to carry out its federally mandated purpose to help protect the lives of New York’s long-term care residents.
Watch testimonies from […]
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
Roughly 117,000 people reside in nursing homes in New York State. Unfortunately, these vulnerable individuals are far too often subjected to substandard care, abuse, and neglect. At the New York Joint Legislative Public Hearing on 2023 Executive Budget Proposal (February 28, 2023), LTCCC Policy Researcher Stefan Foster talks about the need for greater enforcement, […]
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 […]
Family councils play an essential role in advocating for nursing home residents. In a program hosted by the Illinois Long-Term Care Ombudsman Program, LTCCC’s family council empowerment team talks about how to build and strengthen your family council […]
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 […]
The LTC Journal covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
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 […]
Click program titles to access PDFs of presentations from the 2022 New York State Long Term Care Ombudsman Program (LTCOP) conference, “Elder Justice Past, Present, and Future.” For more information about NYS LTCOP, visit https://aging.ny.gov/long-term-care-ombudsman-program.
Results of the NYS LTC Ombudsman – Center for Elder Law & Justice project. Lindsay Heckler, CELJ
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 […]
The LTC Journal covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
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:
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 […]
