Older Americans Act of 1965, as Amended Through P.L. 116-131 (March 25, 2020)
Library of Long-Term Care Laws & Regulations
Long-Term Care Ombudsman Program Final Rule
45 C.F.R. Part 1324, Subpart A – State Long-Term Care Ombudsman Program (February 2024)
45 C.F.R. Part 1321 – Grants to State and Community Programs on Aging (February 14, 2024)
Resources Produced by AoA/ACL
Resources Produced by NORC
- OAA Final Regulations – 45 CFR § 1321 Summary of Select Provisions, Including Provisions Relating to the LTC Ombudsman Program
- OAA Final Regulations – 45 CFR § 1324 State Long-Term Care Ombudsman Program
LTCOP Rule Charts
The following charts outline the LTCOP Rule language by section alongside a blank column for notes or inserting corresponding state regulations or policy language. The charts are intended to assist states in identifying changes in the LTCOP Rule and implementing the requirements.
- § 1324.1 Definitions and § 1324.17 Responsibilities of agencies hosting LOEs
- § 1324.11 Establishment of the Office of the SLTCO
- § 1324.13 Functions and Responsibilities of the SLTCO
- § 1324.15 State agency responsibilities related to the LTCOP
- § 1324.19 Duties of Representatives of the Office
- § 1324.21 Conflicts of Interest
Federal Nursing Home Regulations
- Requirements for States and Long-Term Care Facilities: 42 C.F.R. Part 483
- Requirements for Long-Term Care Facilities: 42 C.F.R. Part 483, Subpart B
- Survey and Certification of Long-Term Care Facilities: 42 C.F.R. Part 488, Subpart E
- Enforcement of Compliance for Long-Term Care Facilities with Deficiencies: 42 C.F.R. Part 488, Subpart F
- Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency: 42 C.F.R. Parts 438, 442, 483
- Disclosure of Ownership and Additional Disclosable Parties Information for Skilled Nursing Facilities and Nursing Facilities; Medicare Providers’ and Suppliers’ Disclosure of Private Equity Companies and Real Estate Investment Trusts: 42 C.F.R. Parts 424 and 455
Home and Community Based Services Federal Regulations
Home and Community Based Services Settings Rule – for HCBS provided under sections 1915(c), 1915(i), and 1915(k) of the Medicaid statute.
Federal Guidelines
State Operations Manual – Appendix PP – Guidance to Surveyors for Long-Term Care Facilities
- Full State Operations Manual
- Consumer Voice Summary of CMS’s Revised Guidance for Nursing Home Surveyors
CMS Quality Safety & Oversight memoranda, guidance, clarifications, and instructions to State Survey Agencies and CMS Locations – Policy & Memos
Learn More from Consumer Voice
Visit the Consumer Voice website for more information on federal laws, regulations, and guidance.
