Strengthening Accountability and Improvement for 1-Star Skilled Nursing Facilities
The CMS 5-Star Rating System effectively identifies underperforming skilled nursing facilities, but without stronger enforcement mechanisms and financial consequences, this valuable assessment tool falls short of driving meaningful reform among the nation's lowest-rated nursing homes.
Private Rooms for All Medicare Part A Skilled Nursing Facility Residents
The American long-term care system must evolve beyond the outdated model of shared rooms in Skilled Nursing Facilities, which compromises resident care through increased infection risks and impeded recovery.

Rethinking the Narrative: Are SNF Closures a Symptom of Systemic Failure or Isolated Issues?
SNF closures are often more nuanced than simply evidence of a lack of adequate funding.

Ensuring Fairness in Michigan’s Medicaid Nursing Home Reimbursement System
Michigan's Medicaid reimbursement system creates a funding disparity between nursing homes based solely on ownership classification, raising significant questions about healthcare equity across the state.
Eliminate the Current CMS Staffing Mandate with Flexible, Technology-Driven Models
Flexible, outcomes-driven staffing models can replace rigid mandates, leveraging technology and innovation to improve care quality, reduce costs, and address workforce challenges in skilled nursing facilities.
Incorporating Longevity as a Key Metric in SNF Staffing Evaluations
Integrating employee longevity into staffing evaluations can balance turnover metrics, reward stable teams, and improve care quality in skilled nursing facilities.
Ensuring Safe and Reliable Transportation for SNF Residents
Explore policy reforms that hold HMOs accountable for providing reliable, safe transportation for skilled nursing facility residents, ensuring dignity and care continuity while reducing burdens on providers.
Advancing Outcomes-Based Reimbursement for SNFs
Outcomes-based reimbursement can replace outdated volume-based models, incentivizing innovation, improving resident care, and driving systemic excellence in skilled nursing facilities.
Aligning Reimbursement with Resident-Centered Care: Supporting In-House Dialysis in SNFs
Fair reimbursement, streamlined processes, and supportive policies can promote in-house dialysis in skilled nursing facilities, improving resident care while reducing systemic costs and inefficiencies.
Enhancing Dementia Reimbursement to Support Quality Care
Aligning reimbursement models with the true costs of dementia care can improve quality, sustain specialized units, and ensure residents receive the attention they deserve in skilled nursing facilities.
Fixing the Reimbursement Model for Secured Skilled Nursing Units
Equitable reimbursement for secured units in SNFs can sustain critical services, improve access for residents with dementia and behavioral health needs, and drive better outcomes for vulnerable populations.
Modernizing the CMS Nursing Home Survey Process through Risk-Based Surveys
A risk-based CMS survey process can improve resource allocation, prioritize resident safety, and address modern challenges like infection control and behavioral health, paving the way for more effective and efficient oversight.