Nursing Home Important Information

Overview Quality Staffing Inspections Characteristics Five-Star Quality Rating

Nursing Home Characteristics

Term Definition

Continuing Care Retirement Community (CCRC)


A housing community that provides different levels of care based on what each resident needs over time. This is sometimes called "life care" and can range from independent living in an apartment to assisted living to full-time care in a nursing home. Residents move from one setting to another based on their needs but continue to live as part of the community. Care in CCRCs is usually expensive. Generally, CCRCs require a large payment before you move in and charge monthly fees.

Date of Last Change of Ownership


Date the most recent change of ownership occurred.

Initial Date of Certification


The date that Medicare or Medicaid certified that the nursing home met all the requirements to provide nursing home care. This date may differ from the date the state licensed the agency. This information is included because you may wish to know how long the nursing home has met all Medicare and/or Medicaid requirements. This date is associated with the current Medicare and/or Medicaid provider number. A nursing home may request to change their provider number if there is a change in ownership. You should contact the agency to find out how long it has been in the Medicare and/or Medicaid program.

Multi-nursing home (chain) ownership


Multi-nursing home chains have two or more homes under one ownership or operation.

New Owner


If a nursing home’s owner changed in the last 12 months, you will see the term “new owner” where applicable. This information may be of interest to you when visiting a nursing home.

Number of Certified Beds


Some nursing homes can have a combination of Medicare, Medicaid, and/or private pay beds. Certified beds represent the number of Medicare and/or Medicaid beds. Please check with the nursing home to find out what types of beds are available.

Participates in Medicaid


This nursing home participates in the Medicaid program and can care for people with Medicaid. If a nursing home doesn’t participate in the Medicaid program or no longer participates in the Medicaid program, and the resident runs out of other funds/coverage, the resident will have to move to another nursing home if he/she wants to be on Medicaid.

Participates in Medicare


This nursing home participates in the Medicare program and can care for people with Medicare who meet certain requirements for skilled care. Generally Medicare covers short stays.

Resident and Family Councils


Resident and family councils can facilitate communications with staff. The law requires nursing homes to allow councils to be set up by residents and families. If a nursing home doesn’t have a resident and family council, ask the administrator why. Ask to talk with council presidents to get a sense of how the nursing home has acted on their concerns.

Special Focus Facility (SFF)


A Special Focus Facility is a nursing home with a recent history of persistent poor quality of care, as indicated by the findings of state or Federal inspection teams. Based on inspection findings for the most recent three-year period, CMS selects a group of nursing homes with the worst repeated inspections as SFFs.

Sometimes a nursing home will fix a sufficient number of problems in order to pass one inspection, only to fail the next one. Often, many of these same problems show up in inspections again and again. This is a sign that the nursing home didn’t address the underlying problems that were causing these repeated serious deficiencies.

Many SFFs respond to the recognition of their past poor performance by making concerted efforts to improve. CMS records indicate that approximately 50% of SFFs significantly improve their quality of care within the subsequent 30 months.

Type of Ownership


Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities. Quality can vary in nursing homes within each of the different types of ownership. Each nursing home needs to be judged on its own merits.


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Page Last Updated: December 17, 2008