Sadly, too many nursing homes have been found to have persistent, serious problems. To help address this, CMS developed the Special Focus Facility (SFF) Program, in which facilities with an extremely poor record of resident safety and care are identified for intensified oversight and enforcement. The goal of the SFF Program is to ensure that these facilities develop and implement practices and protocols for lasting improvement within about two years or, if they are unable to do so, are terminated from participation in the Medicare/Medicaid programs.
The SFF Program is limited to just 88 facilities in the country due to budget constraints. Nevertheless, CMS has identified more than 400 additional facilities nationwide as candidates for the SFF program based on their record of poor care. Since not all facilities that qualify among the most poorly performing can be selected for the SFF Program, we recommend considering any facility with a one-star rating on Nursing Home Compare to be among the most poorly performing in the state.