Structural Quality Standards for Nursing Facilities: Quality Depends on Environment — Policy Must Drive Modernization
Aging nursing facility buildings are not just a modernization issue—they are a resident safety issue, and Medicaid policy should drive replacement of obsolete environments with structurally capable ones.
From Capital to Capability: What Medicaid Pays For Determines What Gets Built
Medicaid pays as if all nursing facilities are the same—this paper shows how tying reimbursement to structural quality can finally drive the modern buildings residents deserve.
Ohio’s Highest Court Spoke. Medicaid Still Hasn’t Acted.
More than four months after a unanimous Ohio Supreme Court order, Ohio Medicaid has not complied.
Quality: What Happened in Ohio?
Ohio made quality the cornerstone of nursing facility reimbursement—then retreated.
From Default to Recovery: Rethinking HUD’s Nursing Facility Oversight
A call for smarter, faster HUD resolutions that distinguish strong operators from chronic defaulters while protecting taxpayer funds.
5 Ways HUD Can Rein in Repeat Risk from Lenders
Five targeted reforms to help HUD resolve distressed nursing home loans faster and prevent bad actors from re-entering the program.
Don’t Wait for a Default: HUD Needs an Early Intervention Playbook
HUD should require greater accountability from underwriters and servicers who repeatedly back failing nursing home operators.
