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Improving Nursing Home Care and Staffing Accountability

This act aims to enhance the quality of care in nursing homes, increase transparency, and support the workforce. It introduces new rules for nurse staffing, quality oversight, and funding to ensure better conditions for residents and staff.
Key points
Increased Transparency and Accountability: Nursing homes must report data more accurately, with penalties for inaccuracies. Mandatory audits of cost reports are introduced.
Surety Bond Requirement: Nursing homes will need to provide a surety bond of at least $500,000, protecting residents in case of financial issues.
Prohibition on Pre-Dispute Arbitration Agreements: Residents cannot be forced into arbitration agreements before a dispute arises, making it easier to pursue legal action.
Enhanced Nurse Staffing: The act mandates 24/7 availability of registered professional nurses. Minimum staff-to-resident ratios are also planned.
Infection Control Services: Nursing homes must provide at least 40 hours per week of infection control services overseen by a preventionist.
Financial Support for Staff: Increased federal funding for states that use it to raise wages and benefits for nursing home staff, aiming to improve recruitment and retention.
Building Modification Program: A demonstration program will provide funds for nursing home building modifications and staff investment to improve resident health outcomes.
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Expired
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Additional Information
Print number: 117_S_2694
Sponsor: Sen. Wyden, Ron [D-OR]
Process start date: 2021-08-10
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Summarized by: gemini-2.5-flash-preview-05-20
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

Nursing Home Improvement and Accountability Act of 2021

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 117_S_2694.

Which chamber initiated this legislation?

This legislation was initiated in the Senate.

When did the legislative process begin?

The process officially started on 2021-08-10.

What are the main provisions?

Key points include:

  • Increased Transparency and Accountability: Nursing homes must report data more accurately, with penalties for inaccuracies. Mandatory audits of cost reports are introduced.
  • Surety Bond Requirement: Nursing homes will need to provide a surety bond of at least $500,000, protecting residents in case of financial issues.
  • Prohibition on Pre-Dispute Arbitration Agreements: Residents cannot be forced into arbitration agreements before a dispute arises, making it easier to pursue legal action.
  • Enhanced Nurse Staffing: The act mandates 24/7 availability of registered professional nurses. Minimum staff-to-resident ratios are also planned.
  • Infection Control Services: Nursing homes must provide at least 40 hours per week of infection control services overseen by a preventionist.
  • Financial Support for Staff: Increased federal funding for states that use it to raise wages and benefits for nursing home staff, aiming to improve recruitment and retention.
  • Building Modification Program: A demonstration program will provide funds for nursing home building modifications and staff investment to improve resident health outcomes.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Sen. Wyden, Ron [D-OR].

What is the latest detailed status?

The latest detailed status is: Introduced in Senate

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-29.

CATEGORIES

Health Benefits Public Investments