This report, “Broken Promises: An Assessment of Nursing Home Oversight,” presents the results of an analysis of survey and enforcement data at the state, regional, and federal levels with a focus on all U.S. states and the 10 Regional Offices of the federal Centers for Medicare and Medicaid Services (CMS) tasked with overseeing the performance of the state enforcement agencies in their respective regions of the country. Download the full report or access individual sections in the toggle boxes on the right. Click here for interactive maps and tables.

Broken Promises

An assessment of federal data on nursing home oversight.

Nursing homes too often have inadequate care staff and fail to provide appropriate care with dignity because nothing is stopping them from doing otherwise. As the data in this report indicate, the government is breaking its promise to ensure that residents are safe and treated with dignity. Read more…

This section provides baseline information on the extent to which states are substantiating problems and identifying when they result in harm or immediate jeopardy. Read more…

State, regional, federal data on AP drugging rates and AP citations (F758). Read more…

State, regional, and federal data on Infection Control citations (F880). Read more…

State, regional, and federal data on Pressure Ulcer citations (F686). Read more…

State, regional, and federal data on QOL citations (F675). Read more…

State, regional, and federal data on Resident Rights citations (F550). Read more…

State, regional, and federal data on Sufficient Nursing Staff citations (F725). Read more…

State, regional, and federal data on fine frequency (adjusted for resident population) and amounts. Read more…

The persistence of poor care in our nursing homes is the result of a cascade of failures, at the facility, state, and federal levels. The results are, too frequently, catastrophic for residents and families. Read more…

View LTCCC’s accompanying report, “A Guide to Nursing Home Oversight.”