This report will examine government regulation of nursing homes for the elderly and its consequences for quality of care. First it will provide a working definition of the term "quality of care" and explain why the best quality of care is difficult for nursing homes to achieve. Next it will describe how general issues in long-term care, such as recipients, caregivers, and financing, affect quality issues specifically. Then it will discuss the impact of state regulation on quality of care in nursing homes. It will also do the same for federal regulation, specifically addressing the Nursing Home Reform Act of the Omnibus Budget Reconciliation Act of 1987. Finally, it will recommend broad policy directives that should shape regulatory reform in the future.
-- Author's foreword.