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Total Care Consolidated Inc history
Total Care Consolidated Inc company history timeline
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.
Report on National Conference on Nursing Homes and Homes for the Aged, Washington, D.C., February 25-28, 1958.
A special Senate Subcommittee on Problems of the Aged and Aging was established in 1959.
The program began to work with the states and the industry to develop federal -guidelines for nursing home licensure programs.17 The final product, the Nursing Home Standards Guide, was issued in 1963.
The Moss Committee hearings in 1965 documented great variations in state nursing home standards and enforcement efforts on the eve of the Medicare and Medicaid programs.
The new Medicaid SNF regulations were supposed to be implemented at the beginning of 1969, but a lengthy battle over their scope and substance ensued.
The Senate Finance Committee staff study of Medicare and Medicaid in 1970 was very critical of Medicare certification.20 Congress forced HEW to stop using "substantial compliance" as a basis for certifying nursing homes.
During 1972 Congress passed the remnants of Nixon's comprehensive welfare reform bill, which still contained many changes in the social security, Medicare, and Medicaid programs.
Since 1974 there has been a series of attempts to revise the federal nursing home certification regulations.27 In 1974 the Office of Nursing Home Affairs began a study of the quality of care in nursing homes.
The HCFA also concluded that revisions of the certification procedures contained in Subpart S of the regulations were necessary (42 CFR Part 405), and began work on them in 1980 (internal HCFA documents).
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