Specialized Information for:

Long-Term Care ConsumersFamily MembersAdvocatesCOVID-19

Nursing Home Closures

Nursing home residents may suffer harm when their nursing home closes; it is important to identify ways to reduce or eliminate such harm. 




This toolkit includes materials that will be helpful to you if you are involved in a nursing home closing.  The toolkit is intended for use by Ombudsmen and advocates.

Web version

PDF version

Webinars and Reports

When Nursing Homes Close: Hear from Pilot States - Part 3 (April 2018)

Representatives from Michigan and Tennessee's closure team shared their experiences over the past year as they developed mission statements, clarified roles of the different state agencies, created a written process, and developed tools for addressing transfer trauma. 

Find PowerPoint slides here.

When Nursing Homes Close: Learn the Federal Rules - Part 2 (December 2017)

This webinar presented information on the federal closure regulations, as well as the revised transfer/discharge nursing home regulations that apply to every closure.

Find PowerPoint slides here.

When Nursing Homes Close: What You Can Do - Part I (November 2017)

This webinar provided information about nursing home closures and advocacy strategies you can employ during a closure.  Presenters spoke about best practices, including how to minimize transfer trauma during a closure and the importance of a relocation team.

Find Powerpoint slides here.


Successful Transitions: Reducing the Negative Impact of Nursing Home Closures

A report released in November 2016 by Consumer Voice found that major obstacles to a successful transition include lack of appropriate and nearby placements or providers who do not want to take a specific resident; poor discharge planning; and lack of communication and time to find new placements for residents. These are serious barriers, but innovative strategies and practices in several states appear to have the potential to address these issues. The report discusses these practices and recommends actions that the Centers for Medicare and Medicaid Services (CMS), state agencies and State Long-Term Care Ombudsman Programs can take to better protect nursing home residents facing relocation.

State-Specific Information

State Projects to Improve Nursing Home Closures

The Consumer Voice worked with two states, Michigan and Tennessee, to improve their nursing home closure process.  Both states selected two recommendations to implement from Successful Transitions: Reducing the Negative Impact of Nursing Home Closures.  Michigan chose two work on: (1) committing to achieve a well-defined closure team and process and (2) ensuring the State Ombudsman is on the committee that reviews individual nursing home closure plans and is required to approve the closure plans.  Tennessee chose to implement the following two recommendations: (1) to develop a detailed and written relocation manual and (2) to achieve seamless transfers that minimize transfer trauma.  Click on the links below to view the work products from the newly formed relocation teams from both states


Back to Top