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 and enforcement; (3) ownership and management standards, transparency, and accountability for quality; (4) government payment systems, financial transparency, and accountability; (5) structural changes in the long-term care delivery system; and (6) nursing home redesign and rebuilding.

The framework is available for download below. Click here for an abbreviated version of our recommendations.

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