Nursing Home Quality

Join the Nursing Home Improvement Network

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Each year, more than 3 million Americans rely on the services provided by nursing homes; 1.4 million Americans reside in them on any given day. Families count on long-term care providers to offer safe, effective care for their loved ones. Yet nationally, thousands of facilities rate only one star on the Centers for Medicare & Medicaid Services’ (CMS) five-point scale.

Maryland and Virginia nursing homes are participating in a HQI improvement initiative that is part of the CMS National Nursing Home Quality Collaborative. Participants benefit from learning the best practices of America’s long-term care quality leaders, sharing knowledge with their peers, and strengthening quality improvement skills as they apply them to care in their own facilities. Their activities include:

  • Developing and implementing a Quality Assurance Performance Improvement (QAPI) plan
  • Preventing infections, pressure ulcers and other healthcare-acquired conditions
  • Reducing the inappropriate use of antipsychotic medications
  • Strengthening survey processes and standards
  • Improving staffing models, financial management and facility leadership
  • Increasing resident satisfaction, as well as resident and family engagement

Questions? Contact Allison Spangler (Virginia nursing homes) at or Lisa Mark (Maryland nursing homes) at

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