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. HIPAA Settlement Underscores Need to Have Signed BA Agreements in Place

    The Center for Children's Digestive Health (CCDH) has paid the U.S. Department of Health and Human Services (HHS) $31,000 to settle potential violations of the HIPAA Privacy Rule and agreed to implement a corrective action plan. ...

  2. Hospital Proposed Rule Impacts Hospice,  Home Health and SNFs

    On April 14, the Centers for Medicare & Medicaid Services (CMS) released its proposed regulation, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2018 Rates; Quality Reporting Requirements ...

  3. Where Do Aging Services Stand on Capitol Hill?

    House members left town as meetings had begun between the leadership and the Trump Administration on a revival of the American Health Care Act, to repeal and replace parts of the Affordable Care Act. We expect House Republicans to continue working over the recess to find consensus on changes that might allow ...

  4. CMS Issues Letter Detailing Nursing Home CMP Increases for 2017

    The Centers for Medicare and Medicaid Services (CMS) has released Survey and Certification Letter No. S&C: 17-23-NH/HHA/CLIA, dated Mar. 31, 2017, that details the increase ...

  5. LeadingAge Urges Regulatory Reform at CMS

    On April 3, 2017, members and staff of LeadingAge met with Seema Verma, the new head of the Center for Medicare and Medicaid Services (CMS) to discuss the need for nursing home regulatory relief.