Using Federal Civil Monetary Penalties and State Fines to Promote Nursing Home Innovation


Civil monetary penalties are one of a number of sanctions states may impose on nursing homes that provide poor care. In addition to their deterrence effect, such penalties offer an opportunity to stimulate quality improvement in nursing homes. Not much is known, however, about whether states are exercising their fining powers or how collected monies are being used. The investigators on this project will seek answers to these questions by surveying and interviewing nursing home regulatory directors, ombudsmen, and consumers in each state. The survey will be supplemented by in-depth case studies of the use of civil monetary penalties in five to seven states. The research findings, together with an action plan developed by the project team, should help states become more proactive in their use of this important tool for quality improvement.

Grant Details

Grantee Organization:
Long Term Care Community Coalition
Principal Investigator:
Cynthia Rudder, Ph.D.
Award Amount:
Approval Date:
November 9, 2004

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