09/16/2026
What happens when strong nursing home protections are not consistently enforced?
LTCCC’s new national study, The Accountability Gap, examines nursing home oversight and enforcement from 2022–2024 — and reveals a troubling divide between the protections residents are promised and what enforcement delivers in practice.
In 2024:
🔹 Only 64.8% of nursing homes received a standard survey.
🔹 About 90% were staffed below expected levels.
🔹 Approximately 94% of cited health deficiencies were classified below actual harm.
🔹 The number of fines was 55% lower than in 2022.
LTCCC also held a webinar yesterday to discuss the findings and what they mean for residents, families, advocates, and policymakers.
Visit the study page to read the report, watch the webinar, explore your state’s performance, download the data, and find additional resources:
https://nursinghome411.org/ltccc-enforcement-study-2026/
Please read and share. Effective standards require effective enforcement.
The Accountability Gap: A National Examination of Nursing Home Oversight And Enforcement, 2022–2024 This study assessed nursing home oversight and enforcement of minimum standards in the three year period following the COVID-19 public health emergency (2022-2024). Findings are based on federal dat...