The Nursing Home Reform Act

The Nursing Home Reform Act of 1987 requires that nursing homes and long-term care facilities that receive federal funds must provide for each resident, care that promotes maintenance or enhancement of quality of life. In addition, nursing home residents have a right to "a dignified existence, self-determination, and communication with and access to persons and services inside and outside of the facility."

Many states also require nursing homes to meet state standards on the type and quality of care required for residents. Unfortunately, even with extensive regulation, a 1998 U.S. General Accounting Office report cited nearly one-third of California's nursing homes for serious or potentially life-threatening problems. There is no reason to believe that the situation in California is any different from that in other state.