The Claude Pepper Center

Pepper Legacy Today

  • Our Mission
    • About Us
    • About Our Staff
  • Research
    • Aging in Postmodern Society
    • Assisted Living
    • Ethics and Aging
    • Global Aging
    • PACE
    • The Politics of Aging
    • Long-Term Care
    • Managed Long-Term Care
    • Mental Health
      • Mental Health and the Criminal Justice System Documentary
    • Pain Management Among Older Adults
    • Policy Issue Briefs
    • Retirement Security
  • Links of Interest
    • Aging in Postmodern Society
    • Covid-19 Public Policy
    • Ethics and Aging
    • Global Aging
    • Health Care
      • End of Life Care
      • Medicaid
      • Medicare
      • Medicare Advantage
      • The VA
    • Long-Term Care
      • Assisted Living
      • Home & Community Based Services (In Home Care)
      • LTC Workforce Issues
      • MLTC
      • Nursing Home Care
      • The Aging Network
      • Wisconsin Family Care (WFC)
    • Mental Health
    • Retirement Security
      • Financial Regulation
      • Neoliberal Political Economy
      • Private Pensions
      • Public Sector Pension
      • Retirement Security of Minority Households
      • Social Security
    • Welfare, Inequality, and Poverty
      • Inequality
      • Neoliberalism
      • Poverty
      • Wealth
  • Contact
  • Newsletter
  • Coronavirus
    • Latest Information
    • COVID-19 Impact on Vulnerable Populations
    • The Cultural Impact of COVID-19
    • Economic Impact
    • Epidemiology and Demography
    • Ethics and Morality
    • Florida Policy on COVID-19
    • Global Dimensions of COVID-19
    • Inequality
    • Long-Term Care
    • Medical Care
    • Mental Health
    • Public Health Policy and COVID-19
    • Public Policy
You are here: Home / Links of Interest / Long-Term Care / MLTC / Key Issues in Long-Term Services and Supports Quality

February 26, 2019

Key Issues in Long-Term Services and Supports Quality

2017 marks the 30th anniversary of the passage of the Nursing Home Reform Act as part of the Omnibus Budget Reconciliation Act of 1987, the federal legislation that substantially strengthened federal standards, inspections and enforcement of nursing home quality. The Act also merged Medicare and Medicaid standards, required comprehensive assessments of residents, set minimal requirements for licensed nursing staff, and required inspections to focus on outcomes of care.1  While progress has been made, care quality issues in nursing homes and residential care facilities2 (also called assisted living) continue to be highlighted frequently in the press3 and by numerous government reports4 and research studies5 (see Appendix Table 1).  Recurring concerns include staffing levels, abuse and neglect, unmet resident needs, quality problems, worker training and competency, and lack of integration with medical care. The last several decades also have seen a shift to home care and other community-based services, with few quality measures for these settings available and little empirical evidence available.

This issue brief discusses four key issues related to long-term services and supports (LTSS) including institutional and home and community-based services (HCBS) quality, highlighting major legislative and policy changes over the last 30 years.  The Appendix Tables provide data about LTSS providers and consumers, summarize key federal laws and policies related to quality, and list selected federal quality measures.

– Kaiser Family Foundation

Read the full article here.

Filed Under: MLTC

Join Our Newsletter!

Our newsletter provides a quick overview of what we are working on, latest news in elder care, and much more!

Putting Hard-Earned Improvements in Nursing Homes at Risk

We are witnessing unprecedented rollbacks in regulations that were established to protect our nation’s Elders. In October 2016, CMS issued a final rule, “Medicare and Medicaid Programs; Reform of

Transformation of the U.S. Long Term Care System: Trends and Concerns

The American long term care system has changed dramatically over the last several years as the need for care has increased steadily with the aging of the boomer generation. Arguably the most important

Crisis in Puerto Rico for the Elderly

Hurricane Maria devastated Puerto Rico on September 20th and the residents of the island remain in great need of assistance.  Many months later the elderly receiving long term care assistance or in need of such care are among the most vulnerable in the wake of the disaster. Over 16% of Puerto Rico's population are elderly, 40% of them live at or below the poverty level. A high percentage compared

Dallas Morning News “Pain and Profit” Briefing by The Claude Pepper Center

The June 2018 Dallas Morning News’ investigative series, “Pain and Profit”, published over several days with personal stories as well as a systemic critique of the multi-billion dollar Texas Medicaid

Climate Change and Aging

Climate Change and Aging

Climate change and global warming are concepts with their fair share of political controversy, but there is no denying the fact that over the past several decades, the average temperature of the earth

Claude Pepper Center


Florida State University
636 West Call Street
Tallahassee, Florida 32306-1124
Phone: (850) 644-9311
Fax: (850) 644-9301

Links of Interest

An ever-growing source of news in care

Read More

About

Learn what our central mission is here at The Claude Pepper Center

Read More

Research

A comprehensive section on the work we produce

Read More

Contact

Please contact us with any inquiries or questions

Read More

© 2021 College of Social Sciences & Public Policy, The Florida State University