enforcement

5-Star Quality Measure Rating ≠ Quality Care: Elder Justice “No Harm” Newsletter (Volume 8, Issue 1)

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 […]

LTCCC Alert: New Data Reports Provide Insights Into Nursing Home Citations and Penalties

March 13, 2026The 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 […]

Wounds left to worsen: Elder Justice “No Harm” Newsletter (Volume 7, Issue 6)

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 […]

Kicked out on Christmas: Elder Justice “No Harm” Newsletter (Volume 7, Issue 5)

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 […]

Silenced in the Shower: Elder Justice “No Harm” Newsletter (Volume 7, Issue 4)

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 […]

Below the Bare Minimum: Elder Justice “No Harm” Newsletter (Volume 7, Issue 3)

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 […]

The Troubling Truth Behind ‘Average’ Nursing Home Care: Elder Justice “No Harm” Newsletter (Volume 7, Issue 2)

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 […]

LTCCC Alert: Explore Nursing Home Deficiencies and Penalties Data

January 27, 2025The Long Term Care Community Coalition is pleased to announce the release of new, interactive data […]

When Five Stars Aren’t Enough: Elder Justice “No Harm” Newsletter (Volume 7, Issue 1)

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 […]

Shining a Light on One-Star Nursing Home Care: Elder Justice “No Harm” Newsletter (Volume 6, Issue 2)

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 […]

Left waiting and suffering: Elder Justice “No Harm” Newsletter (Volume 6, Issue 1)

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 […]

疗养院投诉的联邦联系方式

州调查机构(通常是州卫生部门)负有主要责任,确保疗养院住户全年(每天 24 小时)的安全和尊严。然而,州立机构常常无法有效监控设施或回应有关护理的投诉。如果您所在州对有关住户护理的投诉(包括确保良好生活质量和有尊严的治疗的服务)反应不够充分,您可以通过以下电子邮件地址之一直接向联邦医疗保险和医疗补助服务中心的地区办公室提出投诉。

  • ROATLHSQ@cms.hhs.gov:阿拉巴马州、佛罗里达州、佐治亚州、肯塔基州、密西西比州、北卡罗来纳州、南卡罗来纳州和田纳西州。
  • RODALDSC@cms.hhs.gov:阿肯色州、路易斯安那州、新墨西哥州、俄克拉荷马州和德克萨斯州。
  • ROPHIDSC@cms.hhs.gov:特拉华州、哥伦比亚特区、马里兰州、宾夕法尼亚州、弗吉尼亚州、西弗吉尼亚州、纽约州、新泽西州、波多黎各、维尔京群岛、康涅狄格州、缅因州、马萨诸塞州、新罕布什尔州、罗德岛州和佛蒙特州。
  • ROCHISC@cms.hhs.gov:伊利诺伊州、印第安纳州、密歇根州、明尼苏达州、俄亥俄州、威斯康星州。
  • ROkcmSCB@cms.hhs.gov:爱荷华州、堪萨斯州、密苏里州、内布拉斯加州。
  • DenverLTC@cms.hhs.gov:科罗拉多州、蒙大拿州、北达科他州、南达科他州、犹他州、怀俄明州。
  • ROSFOSO@cms.hhs.gov:阿拉斯加州、爱达荷州、俄勒冈州、华盛顿州、亚利桑那州、加利福尼亚州、夏威夷州、内华达州和太平洋地区。

我们强烈建议个人尽可能准确地记录其顾虑的性质;它造成临床、身体或心理社会伤害的程度(如果有);以及之前在何时、向谁提出过投诉。请访问学习中心,获取有用的表格、有关护理标准的情况说明书以及其他资源。有关州/联邦监督的更多信息,请参阅:CMS,“各州有义务根据 1864 年协议全面调查医疗保险和医疗补助健康与安全要求”,QSO-22-12-ALL(2022 年 2 月 9 日),https://www.cms.gov/files/document/qso-22-12-all.pdf

Contactos Federales Para Presentar Quejas Sobre Geriátricos

Las agencias estatales de encuestas (generalmente el departamento de salud del estado) tienen la responsabilidad principal de garantizar la seguridad y la dignidad de los residentes de geriátricos las 24 horas del día, todos los días del año. Sin embargo, con mucha frecuencia, las agencias estatales no supervisan eficazmente los centros ni responden a las […]

연방 양로원 불만 사항 보고 연락처

주 조사 기관(일반적으로 주 보건부)은 매일 24시간 내내 양로원 거주자의 안전과 존엄성을 보장할 일차적 책임을 부담합니다. 하지만 주 기관은 효과적으로 시설을 감시하거나 관리에 대한 불만에 대처하지 못하는 일이 잦습니다. 해당 주가 양질의 생활과 존엄성을 보장한 대우와 같은 거주자 서비스에 대한 불만에 충분히 대처하지 않은 경우, 아래 이메일 주소 중 한 개를 통해 연방 Centers for […]

Kontak Federal pou Konplent nan Mezon Retrèt

Ajans sondaj Leta yo (anjeneral depatman sante eta a) gen responsablite prensipal pou asire sekirite ak diyite rezidan mezon retrèt yo 24 èdtan pa jou, chak jou nan ane a. Sepandan, twò souvan, ajans leta yo pa byen kontwole enstalasyon oubyen reponn a plent konsènan swen. Si eta ou a pa reponn ase a yon […]

LTCCC Alert: New Data on Nursing Home Citations and Penalties

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 […]

LTCCC Alert: Unveiling Nursing Home Realities: Check Out Our Newsletters

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 […]

“Nobody came for over 11 hours”: Elder Justice “No Harm” Newsletter (Volume 5, Issue 3)

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 […]

Uninspected and Neglected: What Vacancies at State Agencies Mean for Nursing Home Residents

Program: Uninspected and Neglected: What Vacancies at State Agencies Mean for Nursing Home Residents
Description: Peter Gartrell
(U.S. Senate Special Committee on Aging) and Suzanne Messenger (West Virginia State Long-term Care Ombudsman) discuss how staffing issues in inspection agencies put nursing home residents at […]

2023-06-30T09:56:23-04:00, |

Webinar: The Other 51 Weeks: Nursing Home Quality Improvement When Inspectors Have Left the Building

Presenter: Richard Mollot (LTCCC Executive Director)

PowerPoint Slides (PDF) Fact Sheet: Quality & Performance Improvement

LTCCC Testimony: NY Joint Legislative Public Hearing on 2023 Executive Budget Proposal

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, […]

2023-08-01T13:09:49-04:00LTC In NYS, New York|

22 of 2022: LTCCC’s Favorite Nursing Home Reports of the Year

2022 has been a pivotal year in long-term care and we at LTCCC are grateful for all those who have been writing and reporting about the important issues along the way.

That’s why we’re sharing 22 of our favorite articles of 2022 (plus, a few extras!). Below is a list of investigative stories, government reports, and […]

Fall 2022 LTC Journal

The LTC Journal covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:

  • New federal guidance for nursing home surveyors to strengthen safety and accountability.
  • LTCCC’s Q1 2022 staffing report showing nursing home staff turnover at 53.3%.
  • A report detailing how real estate […]

Resources for Surveyors

The federal Centers for Medicare & Medicaid Services (CMS) provides a range of resources for nursing home surveyors (inspectors) to assist in the evaluation of whether a nursing home’s care and services comport with federal minimum standards. These resources are also useful to nursing homes, residents, and others concerned about the quality of nursing home […]

F-tags

F-tags (“F” for “federal”) constitute the system through which federal nursing home regulations are identified in the survey process. Generally, each regulatory provision is assigned a corresponding F-tag number and surveyors use these numbers to indicate on the Statement of Deficiencies when a facility has failed to meet (or exceed) a given standard. Below is […]

LTCCC Alert: New Federal Guidance to Strengthen Nursing Home Safety, Quality, and Accountability

June 30, 2022 – Surveys (inspections) are the principal mechanism by which the government assesses nursing home quality and determines compliance with standards of care. Unfortunately, as previous LTCCC studies have shown, State Survey Agencies (SAs) – which are charged with monitoring care, responding to complaints, and ensuring compliance with minimum standards – too […]

2025-06-20T11:19:23-04:00Alerts|

Memo in Support of NY’s A196-S1576: Protect Seniors and People With Disabilities

50,000 seniors and people with disabilities live in New York’s adult care facilities (ACFs). One in four of them receive SSI and/or the state supplement (SSP). These numbers are expected to grow as New York expands Medicaid-funded assisted living programs in new and existing ACFs. As more New Yorkers move into these facilities, it is […]

LTCCC Policy Brief: Direct Care Minimum Spending Laws

Until recently, nursing homes have not been required to spend a set minimum percentage of the funds they receive on the care of their residents, nor have the public or policymakers had an effective tool to require accountability for these […]

Winter 2022 LTC Journal

The Winter 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:

  • How lax enforcement exposes residents to substandard care.
  • Latest data show nursing homes failing to provide sufficient staffing.
  • Federal […]

Federal Contacts for Nursing Home Complaints

State survey agencies (usually the state department of health) have primary responsibility to ensure the safety and dignity of nursing home residents 24 hours a day, every day of the year. However, too often, the state agencies fail to effectively monitor facilities or respond to complaints about care. If your state is not sufficiently responsive […]

LTCCC Alert: Did These Deficiencies Actually Cause No Harm? You Decide.

December 23, 2021 – LTCCC publishes a bimonthly newsletter highlighting nursing home “no harm” deficiencies from across the United States. Today, we’re releasing a new report featuring all of the Elder Justice Newsletters published in 2021 and a user-friendly guide detailing the 32 “no harm” deficiencies covered this past year. Users can sort the […]

Webinar: Broken Promises: An Assessment of Federal Data on Nursing Home Oversight

Presenter: Eric Goldwein, LTCCC

PowerPoint Slides (PDF) Broken Promises: An Assessment of Nursing Home Oversight LTCCC’s Recommendations to improve enforcement

LTCCC Alert: Oversight Overlooked in New York Nursing Homes

NY ranks last in citation rates despite widespread substandard care and neglect.

Fundamentally, a state’s oversight of nursing home care boils down to two components: (1) its ability to identify and cite a facility when a failure to meet standards (i.e., a deficiency) exists and (2) its ability to appropriately rate the deficiencies […]

Broken Promises: An Assessment of Nursing Home Oversight

How often are nursing homes cited by enforcement agencies for substandard care? Are “Harm” (G+) citations more common in some states compared to others? In this webinar (Tuesday, Dec. 21 at 1pm ET), we discuss a new LTCCC report that assesses survey and enforcement data at the state, regional, and federal levels.

Register: https://nursinghome411.zoom.us/webinar/register/WN_ZGtaR9QjSjGDINYc0wNiqA.

For more […]

2021-11-22T09:22:33-05:00, |

Fall 2021 LTC Journal

The Fall 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:

  • A letter to NY Governor Kathy Hochul calling for action to protect long-term care residents.
  • LTCCC’s Q1 2021 staffing report showing failures to […]

LTCCC Alert: New Data Report Finds One in Six U.S. Nursing Homes is a “Problem Facility”

September 30, 2021 – The Long Term Care Community Coalition (LTCCC) regularly publishes data on key indicators relevant to nursing home care. Today, LTCCC is releasing a new report containing federal data on five-star ratings, ownership type, enforcement, and other important information for all 15,000 U.S. nursing homes. The report features a page […]

LTCCC Alert: Recommendations for Improving Nursing Home Safety, Dignity, & Financial Integrity

Click to read LTCCC’s recommendations for improving nursing home safety, dignity, and financial integrity.

June 7, 2021 – The COVID-19 pandemic exposed longstanding problems in nursing homes that have remained unaddressed, even as cases dwindle. Across the United States, nursing homes continue to be understaffed, underenforced, and unaccountable for so much of the harm […]

2025-04-10T13:27:52-04:00Alerts|

He Thought They Knew What They Were Doing: Elder Justice “No Harm” Newsletter (Volume 3 Issue 5)

Click to download the newsletter or read it in the PDF below.

2019 NYS Enforcement Actions

The Long Term Care Community Coalition (LTCCC) collects information on nursing home enforcement actions across NY State on a regular basis. This page features user-friendly excel files detailing sanctions for substandard care, resident abuse, and fraud for nursing homes in 2019. Click here for LTCCC’s media alert on NY enforcement for 2019. NYSDOH […]

LTCCC Report: Regional Variations of Nursing Home Quality & Oversight in NY

The following report presents the findings of LTCCC’s regional analysis of New York State nursing home care.

In addition to the report, we have developed a searchable table with relevant information on all nursing homes in the state, including ratings, ownership type, staffing levels, and fines for substandard care.  Nursing homes can also be searched and […]

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