Revises requirements for assessing nursing home health, safety, and operations and for taking action against low-performing nursing homes.

This New Jersey bill (A3944) creates new performance standards for nursing homes, directly affecting facilities that receive federal one-star ratings or fail to meet metrics in three key areas: resident physical health (e.g., bedsores, falls), mental well-being (e.g., medication use, depression), and operational factors (e.g., staff turnover, vaccination rates). It establishes a tiered response system: a warning for first failures, sanctions like restricting Medicaid admissions for repeated failures, and severe penalties including removing Medicaid residents or suspending payments for persistent underperformance. Nursing homes failing standards in three of four consecutive quarters must submit a 18-month improvement plan for state review. The bill aims to strengthen accountability for nursing home quality without specifying expected outcomes.