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Nursing Home In the Online Survey Certification and Reporting database, a nursing home is a facility that is certified and meets the Health Care Financing Administration’s long-term care requirements for Medicare and Medicaid eligibility. In the National Master Facility Inventory (NMFI), which provided the sampling frame for 1973-74, 1977, and 1985 National Nursing Home Surveys, a nursing home was an establishment with three or more beds that provided nursing or personal care services to the aged, infirm, or chronically ill. The following definitions of nursing home types applied to facilities listed in the NFMI. The 1977 National Nursing Home Survey included personal care homes and domiciliary care homes while the National Nursing Home Surveys of 1973-74, 1985, 1995, 1997, and 1999 excluded them.
The following definitions of certification levels apply to data collected in National Nursing Home Surveys of 1973-74, 1977, and 1985.
Beginning with the 1995 through the 1999 National Nursing Home Surveys, nursing homes are defined as facilities that routinely provide nursing care services and have three or more beds set up for residents. Facilities may be certified by Medicare or Medicaid or not certified but licensed by the state as a nursing home. The facilities may be freestanding or a distinct unit of a larger facility. After October 1, 1990, long-term care facilities which met the Omnibus Budget Reconciliation Act of 1987 (OBRA 87) nursing home reform requirements that were formerly certified under the Medicaid program as skilled nursing, nursing home, or intermediate care facilities were reclassified as "nursing facilities." The Medicare program continues to certify skilled nursing facilities, but not intermediate care facilities. State Medicaid programs can certify intermediate care facilities for the mentally retarded or developmentally disabled. Nursing facilities must also be certified to participate in the Medicare program in order to be certified for participation in Medicaid, with the exception of those facilities that have obtained waivers. Thus most nursing home care is now provided in skilled care facilities. SOURCE: Health, United States Related
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This page last reviewed
September 11, 2008
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