Nursing Homes State Regulations
Millard Clenney
The Department recently made major changes to the state nursing home regulations. As of November 29, 2022, the regulations were approved by the Independent Regulatory Review Commission (IRRC) and the Office of Attorney General. The final regulations will be published by the end of December 2022 in the Pennsylvania Bulletin, which is available online at
Nursing homes are inspected annually by the department. These surveys help to make sure that nursing homes are following state and federal regulations.
Surveys usually take several days, are unannounced and happen during the day or night. Survey teams:
Learn about public reporting, state-based coalitions, research, training, and revised surveyor guidance focused on ways to make quality of life better for people with dementia to protect them from substandard care and promote goal-directed, person-centered care for every nursing home resident.
North Carolina Administrative Code (NCAC) and regulations from the Centers for Medicare & Medicaid Services (CMS) that apply to nursing facilities are provided below. The North Carolina Office of Administrative Hearings provides access to both permanent and temporary licensure rules.
State Statutes on Long Term Care Issues Including Long Term Care Planning Committee, Money Follows the Person program, nursing home self-pay rates regulated, certificate of needs, state assisted living programs, pre-admission screening process for nursing homes, etc.
This listing of nursing homes by county provides the address, name of the administrator, the type of payment accepted, the number of beds and type of license classification (e.g., sheltered, intermediate, skilled), and ownership information for each facility.
This database provides information about the performance of every Medicare and Medicaid certified nursing home in Illinois based on the most recent state inspection. The database also contains information reported by the nursing homes prior to the last state inspection, including nursing home and resident characteristics.
Unless a different meaning is required by the context, the following terms as used in these rules and regulations shall have the meaning hereafter respectively ascribed to them; except, however, same do not apply to nursing homes owned or operated by the Federal Government:
Long-term Care Facility (LTCF) means any institution whether conducted for charity or profit that is advertised, announced or maintained for the express or implied purpose of providing four or more individuals admitted thereto with long-term resident, nursing, convalescent or rehabilitative care; supervision and care incident to old age for ambulatory persons; or retirement home care for elderly persons. Long-term care facility shall include convalescent or nursing homes, rest homes, infirmaries maintained in towns and charitable homes for the aged.
Report an incident regarding a health care facility
The Incident Report Form is for health care facilities to notify the Indiana Department of Health of a reportable incident pursuant to the IDOH Reportable Unusual Occurrence Policy. The Incident Report Form is also for health care facility staff (nursing homes, intermediate care facilities, and hospice agencies) to report a reasonable suspicion of a crime against a resident pursuant to Federal regulations. This form is not to be used to file a complaint.
(D) A statement that the resident may file a complaint with the State Survey Agency concerning any suspected violation of state or federal nursing facility regulations, including but not limited to resident abuse, neglect, exploitation, misappropriation of resident property in the facility, non-compliance with the advance directives requirements and requests for information regarding returning to the community.
(vi) Information and contact information for filing grievances or complaints concerning any suspected violation of state or federal nursing facility regulations, including but not limited to resident abuse, neglect, exploitation, misappropriation of resident property in the facility, non-compliance with the advance directives requirements and requests for information regarding returning to the community.
(ii) A statement that the resident may file a complaint with the State Survey Agency concerning any suspected violation of state or federal nursing facility regulations, including but not limited to resident abuse, neglect, exploitation, misappropriation of resident property in the facility, non-compliance with the advance directives requirements (42 CFR part 489 subpart I) and requests for information regarding returning to the community.
(4) A nursing facility must notify the state mental health authority or state intellectual disability authority, as applicable, promptly after a significant change in the mental or physical condition of a resident who has a mental disorder or intellectual disability for resident review.
Selecting a nursing home can be a difficult task. The purpose of this site is to provide you background knowledge about nursing homes, what to expect, and beginning general guidance. The overall goal of nursing home care is to assist individual residents to attain or maintain their highest practicable physical, mental, and psychosocial well-being.
The Alabama Department of Public Health, Bureau of Health Provider Standards, wishes to provide you some information and resources available to help you make an informed selection regarding nursing home placement. Using our Health Care Facilities Directory, start a list of nursing homes in your area geographically located convenient to you, your family or friends. Our list will tell you whether they are Medicare or Medicare and Medicaid certified, the number of beds, and if they provide skilled nursing care.
Special Focus Facilities (SFF) - The Special Focus Facilities are nursing homes that (a) have had a history of serious quality issues and (b) are included in a special program to stimulate improvements in their quality of care. Currently, in the state of Alabama, there is only one such nursing home listed as an SFF. View current SFF. View detailed explanations of this program and how it works.
Once you've started your list, talk to friends, neighbors or coworkers about recent experiences they had with any of the nursing homes. Following these reviews, call the facilities and schedule an appointment for a tour. You can get additional information from the Local and State Long Term Care Ombudsman Program by going to Alabama Age Line.
Oregon's Nursing Facilities are licensed by ODHS. Oregon Administrative Rules Chapter 411, Divisions 73 and 85 through 89 define general licensing standards and requirements for license renewal, change of ownership, change of operator, new construction and initial licensure. Nursing facilities are inspected on an annual basis to ensure compliance with all state and federal regulations.
A hallmark of nursing facilities is care provision by licensed caregivers, including a licensed nurse on duty for each shift. Nursing facilities are inspected for compliance with state and federal regulations.
The updated regulations make significant changes to nursing home staffing level requirements, and more closely align the state and the federal regulations. With limited exceptions, the new regulations take effect on July 1, 2023.
The release of the final regulations concludes this extended rulemaking process and provides a new regulatory landscape applicable to the nearly 700 long-term care nursing facilities operating in Pennsylvania. Ballard Spahr attorneys in the Health Care and Government Relations Groups will continue to monitor the implementation of the new regulations and are available to assist with any related questions. Please contact us for more information.
The definition of a Nursing Care Facility is a an institution which is a skilled nursing facility (SNF) or a nursing facility (NF) which is currently licensed and meets the requirements of the rules and regulations.
When you have clients/patients/residents for which you are providing services, your agency must request, in writing, that a survey be conducted. An unannounced survey will be provided by state surveyors as soon as scheduling permits. When the initial survey has been completed and the facility is found to be in compliance with the regulations, a permanent license will be issued.
SC11-22 QAPI Initiatives related to Section 6102 (c) of the Affordable Care Act for Nursing (requirement for increased emphasis on Quality Assurance and Performance Improvement programming in nursing homes and the requirement for CMS to provide technical assistance to nursing homes in developing a program).
COVID-19 exposed many vulnerabilities in assisted living and nursing homes, causing some seniors to reconsider moving in. This guide explores the federal and state regulations in place for these communities, especially regarding cost, health and safety. It also discusses enforcement and how to get data on how closely a facility follows regulations. These regulations are current as of 2023.
Pro Tip: It's important to understand the difference between assisted living and nursing homes, especially when it comes to regulations and costs. Unclear on the difference? Visit our assisted living vs. nursing home comparison guide.
Medicare does not pay for assisted living but sometimes pays for medical/skilled nursing care services received in assisted living.More on comparisons: If the facility you're considering is part of a CCRC, check both the Medicare comparison tool and your state's assisted living inspection reports (if accessible). Do this even if it's just the skilled nursing aspect or the assisted living aspect you care about.
Looking at both gives you a more rounded picture of how well the CCRC follows regulations. For example, some of the same staffers may work in both assisted living and nursing care. Residents from both may socialize with one another, too. That's one reason CCRCs appeal to couples with different care needs. They no longer live in the same room or apartment but are close together for meals and socialization.
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