• Front Matter R1-R16

• 1. Introduction and Summary 1-44

• 2. Concepts of Quality, Quality Assessment, and Quality Assurance 45-68

• 3. Regulatory Criteria 69-103

• 4. Monitoring Nursing Home Performance 104-145

• 5. Enforcing Compliance with Federal Standards 146-170

• 6. Other Factors Affecting Quality of Care and Quality of Life in Nursing Homes 171-189

• 7. Issues Requiring Further Study 190-202

• 8. Actions Required and Cost Implications of the Recommendations 203-212

• Notes 213-237

• Appendix A: History of Federal Nursing Home Regulation 238-253

• Appendix B: Existing SNF Conditions of Participation and ICF Standards 254-314

• Appendix C: Report of Survey of State Health Facility Licensure and Certification Agencies 315-350

• Appendix D: Selected Data on Nursing Homes and Residents 351-377

• Appendix E: Key Indicators of Quality of Care 378-388

• Glossary 389-404

• Acronyms and Initialisms 405-406

• Index 407-416

" Appendix D: Selected Data on Nursing Homes and Residents ." Improving the Quality of Care in Nursing Homes . Washington, DC: The National Academies Press, 1986 .

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