… , enforcement (eg, fines), and collection and publication of … , monitoring, civil monetary
penalties, temporary management, … federal regulation of nursing services provides funding and a …

… care outside of their home face a markedly segregated set of … disproportionately levy fines
on low-quality nursing homes, … The public financing of nursing home care must also change, …

… Civil monetary penalties are also distributed by region, which suggests regional initiatives
… , given the incomplete nature of the data contained within this data set, and the results of this …

… as the funds into which the collected monies are to be deposited. We argue that these laws
not only set out the specifics of the monetary … and delimits the collection of fines and fees for …

… This has not been accompanied by commensurate re-allocation of funding and this has …
set out to learn lessons that might inform more effective approaches to working the care homes …

… also used to capture NH characteristics in the prestudy period). Nursing Home Compare is a
publicly reported data set of … Penalties are recorded in Nursing Home Compare as fines and …

… the sentencing, monitoring and collection of monetary sanctions… erty penalties that can
increase and extend the punishment.… return to day fines, which calibrate monetary penalties to the …

… that receive federal Medicaid or Medicare funds must report to the system, which means that
… time-invariant indicator set equal to 1 if a nursing home is At risk of losing a star (and set to 0 …

… back on models of care, work organization, accountability, financing and ownership, contributing
to … These analyses are based on a variety of sources and data collection, reflecting our …

… , and local levels dramatically ramped up monetary punishment. The growth of fines, fees, and
… We found that current systems set up to address this inability to pay were severely lacking. …