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 Releases Provider Impact File

    They note that, as discussed in the file, the provider and resident data is for fiscal year 2014 and represent estimated payments under RCS-I, assuming no changes in provider behavior or resident case-mix. This displays a crosswalk between the current resource utilization groups (RUG-IV) and proposed RCS-I payment. We encourage ...

  2. Key Deadlines Approaching for SNF Quality Reporting Program Impacting Rates

    Two key mid-August deadlines are rapidly approaching for Skilled Nursing Facilities (SNFs) related to required submissions for the SNF Quality Reporting Program (QRP):  August 13: Date by which a SNF must submit a request for reconsideration to CMS if they were determined to be non-compliant with ...

  3. Update on New CMS Survey Process for LTC Providers

    The new process combines the best of the traditional survey process and the QIS survey process. Directly, the concepts of the new survey process will be a focus on residents and resident experiences. This direction will allow surveyors to steer away from rigid yes or no answers to open-ended questions and bring in a conversation ...

  4. DOL Elects Not to Defend White Collar Overtime Rule

    The rule was scheduled to take effect on December 1, 2016; however a Federal judge in Texas issued a nationwide injunction on November 22, 2016 that blocked the rule. The Obama administration, in December, 2016, appealed ...

  5. DOL Withdraws Controversial Guidance on Independent Contractor and Joint Employer Status

    The independent contractor guidance issued in 2015 reflected the DOL’s stance under the Obama administration that “most workers are employees” insofar as the Fair Labor Standards Act is concerned. That guidance made classifying an individual performing work for an organization as ...