Nursing Homes to See Tougher Federal Oversight

Revisions to Special Focus Facility program aims to increase enforcement actions for facilities that fail to demonstrate improvement.

By HFT Staff
October 26, 2022

The Centers for Medicare & Medicaid Services (CMS) recently announced it is increasing scrutiny and oversight over the country’s poorest-performing nursing facilities in an effort to immediately improve the care they deliver. In a series of revisions to the Special Focus Facility (SFF) program, CMS will toughen requirements for completion of the program and increase enforcement actions for facilities that fail to demonstrate improvement. CMS is also calling on states to consider a facility’s staffing level in determining which facilities enter the SFF Program.  

The action aims to overhaul the SFF program to strengthen scrutiny over more poor-performing nursing homes, improve care for the affected residents more quickly, and better hold facilities accountable for improper and unsafe care.  

CMS is announcing the following revisions to the SFF Program: 

  • Make requirements tougher. CMS is strengthening the criteria for successful completion of the SFF program by adding a threshold that prevents a facility from exiting based on the total number of deficiencies cited. 
  • Terminate federal funding for facilities that do not improve. CMS is considering all facilities cited with Immediate Jeopardy deficiencies on any two surveys while in the SFF program for discretionary termination from the Medicare or Medicaid programs. 
  • Increase enforcement actions. CMS is imposing more severe, escalating enforcement remedies for SFF program facilities that have continued noncompliance and little or no demonstrated effort to improve performance. 
  • Incentivizing sustainable improvements. CMS is extending the monitoring period and maintaining readiness to impose progressively severe enforcement actions against nursing homes whose performance declines after graduation from the SFF program. 

See the latest posts on our homepage Share

Topic Area: Industry News , Maintenance and Operations

Recent Posts
Recent Posts

Guidelines Target Active Shooters in Healthcare

Guideline provides a framework to include preparedness, mitigation, response and recovery from an active shooter or hostile event.


Hudson Regional Hospital Fined After Gun Cache Found

The New Jersey Department of Health found the hospital in violation of several licensing standards.


Leapfrog Group Announces Top Hospitals and Top Ambulatory Surgery Center Award

Over 100 U.S. hospitals received the Top Hospital Award.


Patient Safety Group Issues Wheelchair Alert

Hundreds of wheelchair-related injuries have been reported to Food and Drug Administration’s Manufacturer and User Facility Device Experience reporting system.


Lehigh Valley Health Network Breaks Ground on New Hospital

The hospital is expected to open by the end of 2023.



News & Updates • Webcast Alerts • Building Technologies

All fields are required.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

You Might Like