Makes various revisions to nursing home regulations; makes appropriations.

This bill (A3842) updates New Jersey nursing home regulations to improve oversight and care. It requires the Department of Health to conduct unannounced biennial inspections of all nursing homes and post reports online within 90 days. Nursing homes must provide residents with physician or nurse visits every 15 days if medically needed, and the bill tightens staffing ratios (reducing the day shift ratio from 8:1 to 7:1 certified nurse aides per resident). The bill also adds new duties for the State Long-Term Care Ombudsman, including hiring geriatric social workers to address residents' legal and financial concerns, with funding appropriated for this purpose. These changes directly affect nursing homes, residents, and state health oversight agencies.