Nursing Homes Residential Care
/ Assisted Living


Medi-Cal for
Long Term Care
Elder Abuse
/ Financial Abuse
Find an Elder Law Attorney


Table of Contents:

CANHR Reports

  • Who’s Fault Is It - Are Nursing Homes to Blame for Their COVID Outbreaks? (09/2020) (pdf)
    As nursing homes across the country continue to be overrun with coronavirus outbreaks and the number of residents killed by COVID-19 continues to rise, a dispute has emerged over assigning blame. The nursing home industry, unsurprisingly, has been pushing a narrative that nursing homes are “victims” of coronavirus and blameless for the outbreaks in their buildings. The problem with the industry narrative is that it conflates COVID “incidence” (having one case of COVID-19 in a facility) with COVID “extent” (the size of the outbreak within a facility, once it had a case). While incidence is very likely associated with community outbreaks, it is after the virus has entered a nursing home when the differences in quality of care among facilities will matter. Good and bad facilities both have COVID outbreaks; but extensive COVID spread is much more likely to occur in bad facilities.
    CLICK HERE to download the report.
  • CANHR’s Ten-Point Plan to Reform California Nursing Homes (06/2020) (pdf)
    This is CANHR's Ten-Point Reform Plan that responds to the nightmarish conditions California nursing home residents have faced throughout the pandemic and for years before the coronavirus arrived. The sweeping plan addresses longstanding failings that the pandemic has exposed for all to see, starting with the need to give top priority to helping people stay out of nursing homes.  It also addresses living conditions, safe staffing, emergency preparedness, nursing home slumlords, bad actors, self-dealing schemes, justice for elder abuse victims and independence from the nursing home industry.
    CLICK HERE to download the report.
  • Bad Deal, Bad Care - Reforming the AB 1629 Nursing Home Reimbursement System (10/2019) (pdf)
    In 2020, California’s controversial and extraordinarily expensive reimbursement system for skilled nursing facilities – known as AB 1629 – is about to sunset. Reauthorizing AB 1629 offers a rare chance to redesign the failed reimbursement system to serve residents’ interests.Instead of improved resident care, AB 1629 has produced billionaire owners, scandalous abuse and neglect, rampant discrimination against Medi-Cal beneficiaries and over a billion dollars per year in new General Fund costs while home and community-based services faced relentless cuts.It is time to start over and create a reimbursement system that does not rely on blind trust with California’s disreputable nursing home chains. CANHR has issued a report, “Bad Deal, Bad Care,” to explain the problems with AB 1629 and to list the reforms available to the state to ensure that nursing home reimbursement is finally tied to quality care and fits properly into a long term care system that maximizes consumer well-being.
    CLICK HERE to download the report.
  • California's Broken Long-Term Care System: What's Wrong and What Needs to Be Done (11/2018) (pdf)
    CANHR has released a white paper summarizing major problems in long term care in California and offering suggestions as to what needs to be done to improve nursing home and residential care; create more affordable and accessible home and community based services; and hold predators and abusers accountable for elder abuse.
    CLICK HERE to download the report.
Drug use still an epidemic
  • Don't Believe the Hype: Inappropriate Psychotropic Drug Use in Nursing Homes Still an Epidemic (12/2017) (pdf)
    In 2012, the Centers for Medicare and Medicaid Services (CMS) announced the Partnership to Improve Dementia Care in Nursing Homes following a withering Office of Inspector General (OIG) report finding rampant misuse of antipsychotic drugs in nursing homes throughout the country. A centerpiece of the Partnership was a series of antipsychotic reduction goals, which ultimately called for a 30% reduction in antipsychotic use in nursing homes by the end of 2016...
  • No Standards: How Nursing Homes Attempted to Undermine California’s Standard Admission Agreement and Diminish Residents’ Rights (2014) (pdf)
    California nursing homes are required to use a standard admission agreement (SAA) to set forth all the contractual terms of service with their residents.  The adoption of the SAA took twelve contentious years, due to concerns over the content highlighted by a facility-led lawsuit against the state’s Department of Public Health (DPH).  When the dust settled, California had a nursing home SAA that had been through two rounds of regulatory adoption procedures with extensive public comment and a lawsuit where all of the nursing home industry’s objections were heard by a state Superior Court judge.
  • Residential Care in California - Unsafe, Unregulated & Unaccountable (2013) (pdf)
    California Advocates for Nursing Home Reform (CANHR) released the attached report on the crisis in care at California's 7,500 Residential Care Facilities for the Elderly (RCFEs). The recent abandonment of 14 bedridden residents at Valley Springs Manor in Castro Valley highlights the serious problems in oversight and enforcement.
  • Citation Report 2013 (8/2014) (pdf)
    A listing of Nursing Home Citations in California, arranged by county, with summaries & fines issued. In an effort to provide concise yet meaningful information about fines (“citations”) received by California’s ~1,235 nursing homes, CANHR has summarized the citations issued by the Licensing and Certification Division of the Department of Public Health to nursing homes in 2013.
  • New! Your Right to Leave: a Guide for Battling Forced Placement in Long-Term Care Facilities (2015) (pdf)
    A free guide to the rights of long-term care consumers to be free from false imprisonment. Residents are often illegally held in nursing homes or assisted living facilities against their will despite no judicial decision or legal process. "Your Right to Leave" explains how and why this happens but more importantly, details residents' rights to be free from forced placement and gives guidance on remedies.
  • Your Right To Visit: A Guide To Visiting Residents of Long-Term Care Facilities and Hospitals (2011) (pdf) updated: 8/2015
    Visitation is extremely important to hospital patients and residents of long-term care facilities. Studies show visitation is highly correlated with improved quality of life for patients and residents. Visitors to hospitals and long-term care facilities often defer to the institution’s rules about visitation, legal or not. However, such deference lacks the perspective that these institutions are also often the homes of the residents. Visitation rules are only enforceable if they honor the basic rights of the residents.

Assisted Living/Residential Care Studies

Conservatorship & Guardianship

Elder Financial Abuse


Long Term Care Demographics

Long Term Care Insurance

Home and Community Based Services


Nursing Homes

To access additional General Accounting Office (GAO) reports, visit the GAO web site at