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Assessment of the Special Focus Facility Program for Nursing Homes

CMS established the Special Focus Facility (SFF) Program to improve care in the poorest performing nursing homes. CMS and State survey agencies conduct increased oversight of nursing homes in the SFF Program by surveying these facilities twice per year, about twice as often as required for other nursing homes. In October 2022, CMS updated the SFF Program to shorten the amount of time that nursing homes spend as an SFF and increase the number of nursing homes that go through the program. This study will evaluate CMS's and State survey agencies' implementation of the SFF Program, including implementation of the October 2022 program updates. In addition, this study will identify factors that have aided graduated SFFs with sustaining quality improvements and will assess the extent to which CMS and States incorporate these factors into the SFF Program. Finally, this study will also provide descriptive information about nursing homes that participated in the SFF Program from 2013 through 2022.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
June 2024 Centers for Medicare and Medicaid Services Assessment of the Special Focus Facility Program for Nursing Homes Office of Evaluation and Inspections OEI-01-23-00050;