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Tolstoy Foundation Nursing Home Co., Inc. company history timeline

1950

The 1950 legislation also required that participating states establish programs for licensing nursing homes, but it did not specify what the standards or enforcement procedures should be.

1955

A Bill of Objectives for Older People and a Program for Action in the Field of Aging, by the Council of State Governments, August 1955.

1957

As a result of concerns about the quality of care and safety of conditions in nursing homes, the chronic disease program of the Public Health Service began to study state licensing programs in 1957.

1959

A special Senate Subcommittee on Problems of the Aged and Aging was established in 1959.

1965

By 1965, 47 states had MAA programs, with a total outlay of $1.3 billion a year.

1967

Amendments made in 1967 to the Medicaid program included those sponsored by Senator Moss authorizing HEW to develop standards and regulations to be applied uniformly by the states.

1969

HEW withdrew proposed ICF regulations in 1969 when states protested.

1970

In 1970, she founded the Tolstoy Foundation Nursing Home in Valley Cottage to provide services to patients in need of nursing care.

1971

In June 1971, with the White House Conference on Aging pending, President Nixon made a major speech deploring conditions in nursing homes and pledging to end federal payments to substandard facilities.

1972

Work began in earnest to develop the regulations for SNFs and ICFs in 1972.

1974

The 1974 report of the Moss Committee restated the reasons for these variations:19

The reaction from consumer groups, state regulators, the Congress, and providers was so strong that Secretary of Health and Human Services Richard Schweiker announced that the draft regulations would be dropped, leaving the 1974 rules in effect.

1976

The ONHA, now called the Office of Long-Term Care, was overseeing a substantial revision of the SNF standards by an interagency work group as early as 1976.

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