Specialized Information for:

Nursing HomesAssisted Living/Board & Care Home and Community Based Services
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Nursing Home Closures


Best Practices for Voluntary Nursing Facility Closure 
Developed by the Michigan Nursing Facility State Closure Team for use by owners, administrators, staff, residents, family members, guardians, placement workers and government representatives. It is intended to bring about the best possible outcomes for residents having to relocate as a result of voluntary nursing facility closures. It contains examples of useful forms and procedures, clarifies roles and responsibilities and provides helpful resources.

Facility Closure Checklist - developed by the Florida State LTC Ombudsman Program, 2008


NORC Training

The Center conducted two conference calls in July 2002 (July 22 and 29) that included briefings by two experts on this important topic, Alison Hirschel and Erica Wood, and provided an opportunity for dialogue. Each call included participation by state ombudsmen, local ombudsmen and members of citizen advocacy groups. Presentation materials and presenter bios can be found below.

“Predicting and Preventing Nursing Home 'Performance Closures' in Michigan: Why Regulators May Not Have All the Tools They Need” by Alison Hirschel, JD

“Termination and Closure of Poor Quality Nursing Homes: What Are the Options?” by Erica F. Wood, JD


Consumer Voice Resources

The Consumer Voice has developed several resources related to nursing home closures such as webinars, reports, and a toolkit for Ombudsmen and advocates. View all Consumer Voice resources here.


Other Resources

Ombudsman Role in Nursing Home Closures and Natural Disasters (2000) includes "closure kit," information on transfer trauma, and recommendations for state and local ombudsmen.

AoA letter to SLTCO on homes experiencing financial difficulties, July 15, 1999

CMS letter on developing a plan for closures, June 18, 1999

CMS Memo - Voluntary Termination of a Skilled Nursing Facility or Nursing Facility, April 29, 2002

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