Nursing Home Care Quality Twenty Years After The Omnibus Budget Reconciliation Act of 1987 - Report

Nursing home regulation: History and expectations

This article contains a broad overview of the history of Federal regulation of nursing homes from the perspective of an individual involved directly for a number of years in the development and enforcement of Federal regulatory requirements. The article also contains a summary of the major statutory changes in the Omnibus Budget Reconciliation Act of 1987 that affect nursing homes. Finally, the...

Promoting Quality in Nursing Homes: the Wellspring Model

The views presented here are those of the authors and should not be attributed to The Commonwealth Fund or its directors, officers, or staff. Copies of this report are available from The Commonwealth Fund by calling our toll-free publications line at 1-888-777-2744 and ordering publication number 432. The report can also be found on the Fund's website at www.cmwf.org. Introduction The quest to ...

Omnibus Budget Reconciliation Act of 1986.

The impact of worker health on long term care: implications for nursing managers.

Long-term care (LTC) facilities face many challenges, including retention of qualified and caring staff and maintaining high-quality care. In 2008, the Institute of Medicine (IOM)(1) reported widespread consensus that there are insufficient numbers of competent licensed and direct care staff to manage, supervise, and deliver high-quality care to the elderly population. Although examples of exce...

Repeal of the Boren Amendment

linked Medicaid nursing home rates with minimum federal and state quality of care standards. As part of the Omnibus Reconciliation Act of 1980, the “Boren amendment” required that Medicaid nursing home rates be “reasonable and adequate to meet the costs which must be incurred by efficiently and economically operated facilities in order to provide care and services in conformity with applicable ...