OBJECTIVE
In recent years, regulators and policymakers have raised concerns about the relationship between changes in nursing home ownership and low-quality care, which can endanger resident health and safety. CMS requires nursing homes to submit updated information within 30 days of a change in ownership. In addition, CMS and State survey agencies can assess the effect of ownership changes on quality by conducting an onsite survey, making a State monitoring visit, and/or requesting additional documentation. This study will evaluate the extent to which CMS and State survey agencies take actions to identify and respond to declines in nursing home quality related to changes in ownership.
TIMELINE
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November 15, 2025Announced
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TodayOffice of Evaluation and Inspections In-Progress
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Est FY2027Estimated Fiscal Year for Project Completion