This report provides the results of an assessment of the circumstances in which harm is identified when a nursing home is cited for deficient care, abuse or neglect. Numerous studies have identified problems with the ability of state Survey Agencies (SAs) to adequately identify violations of minimum standards.  As a result, too many nursing home residents receive substandard care in facilities that are, nevertheless, classified as being in compliance with government standards. In addition, as our previous study, Safeguarding NH Residents & Program Integrity: A National Review of State Survey Agency Performance,  indicated, even when substandard abuse or neglect are identified by SAs, they rarely identify these deficiencies as having caused harm to residents.

Our goal in presenting these data is to help stakeholders and policymakers gain insights into how and when nursing homes are cited for harming residents when substandard care, abuse or neglect are identified by surveyors.

Press Release (February 2017)  Download

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