Nursing Home Rules and Regulation

Information about rules and regulations for nursing home communities.

Featured Content

Nursing Home Final Rule: What You Need to Know

The Centers for Medicare and Medicaid Services (CMS) has issued the long-awaited Nursing Home Requirements of Participation Final Rule. The changes are significant and cover every aspect of service and care.   

CMS Issues Memo with Social Media Guidelines

New rules regarding social media policy in nursing homes released by CMS

Skilled Nursing Facilities: CMS Issues Final Rule on 2016 Medicare Payment Rates

On August 4, 2015, the Centers for Medicare and Medicaid Services (CMS) issued the final rule for skilled nursing facilities' Medicare payment rates in fiscal 2016. The rule includes value-based purchasing provisions for skilled nursing facilities, based on a hospital readmission measure. It also implements the quality reporting requirements of the 2014 IMPACT Act and the Affordable Care Act's requirement that nursing homes submit payroll-based staffing data. The rule is effective on October 1, 2015, except for the staffing data collection provisions, which go into effect July 1, 2016.

Final Overpayment Rule Delayed by CMS Until 2016

In a Federal Register notice published on Feb. 17, the Centers for Medicare and Medicaid Services (CMS) announced that it would be delaying until Feb. 16, 2016, publication of a final rule governing the reporting and returning of Medicare overpayments.

MedPAC Shifts View of 3-Day SNF Requirement

On September 12th, the Medicare Payment Advisory Commission (MedPAC) held a meeting on hospital short stays. During this meeting, Chairman Glenn M. Hackbarth recommended that the 3-day stay requirement be eliminated from the Medicare benefits package.


  1. CMS Announces Initiative to Address Improper Facility-Initiated Discharges

    CMS noted in the Letter that “discharge/eviction” was the most frequent nursing facility complaint category logged by Long-Term Care Ombudsman programs nationally in FY2015. CMS stated that the reasons for non-compliant discharges can vary but often are driven by payment concerns and behavioral/mental/emotional expressions ...

  2. CMS Urges States to Consider Civil Monetary Penalties for Illegal Discharges

    According to the memo, discharges which violate Federal regulations continue to be one of the most frequent complaints made to the State Long-Term Care Ombudsman Programs.  ...

  3. Advocacy: Looking Back, Looking Ahead

    The end of the first session of the 115th Congress presents a good opportunity to take stock of our progress on our advocacy goals for 2017 and to set our course for the rest of this Congress. We began 2017 with a focus on three priority issues for our advocacy – preservation of Medicaid’s structure ...

  4. Training Videos for New LTC Survey Process

    The Centers for Medicare and Medicaid (CMS) released new Long Term care survey process training videos. The training videos are broken up into the sections of the survey including but not limited to:  Entrance Conference, Initial Pool, Observations, Interviews, Facility Tasks, Investigations and Closed Record Review. Please ...

  5. Changes to CJR Bundles Finalized and Episodic Payment Models Cancelled

    On November 30, 2017, CMS finalized its plan (final rule) to make changes to the Comprehensive Care for Joint Replacement (CJR) bundled payment model and permanently cancel the implementation of its Episodic Payment Models (EPMs) and Cardiac ...