Raising the Bar in Nursing Homes

Ohio is raising the bar for quality long-term care, beginning with nursing homes, through a Medicaid payment policy that rewards nursing homes for achieving quality incentive measures. At the center of this effort is the resident who lives in a nursing home for any length of time - whether they are elders or people with disabling conditions.

Person-centered care is becoming a way of life in Ohio. This means that we are creating environments where people can live and work with meaning and purpose. It involves residents, their family and friends, and the caregivers who work every day to support the resident's preferences and needs. Everyone engaging together makes the place a home.

The quality incentive measures are intended to stimulate practices that support residents in five general areas: nursing home performance, choice, staffing, clinical practice and environment. The goal is for all nursing homes to achieve the quality incentive measures. To that end, this website provides valuable resources to assist nursing homes. We will point you to resources for each of the twenty measures, including professionals who have experience that can help.

For Facilities

Use the menu above to begin learning how your facility can meet - or already is meeting - the quality incentives. This site will constantly evolve, so visit often. If you have questions about the measures or this website, please contact us.


Implementing Innovation

The information in this website was compiled and is presented based on Everett Rogers' Diffusion of Innovations, the seminal book on how and why new information is spread through cultures. Assistance for understanding and implementing each measure is broken down into Rogers' five attributes of innovation:

  • Relative Advantage - The degree to which an innovation is perceived as better than the idea or practice it supersedes.
  • Simplicity - The degree to which an innovation is perceived as simple to understand, apply and use.
  • Compatibility - The degree to which an innovation is perceived as being consistent with the existing values, experiences, beliefs, needs and practices of potential adopters.
  • Trialability - The degree to which an innovation can undergo a trial and be tested on a small scale.
  • Observability - The degree to which the use of an innovation and the results and impacts it produces are apparent and/or visible to those who should consider it.

Quality Improvement Guides

For Consumers

Whether you are looking for a nursing home or caring for someone who is living in a nursing home, you should Expect Excellence. We hear time and time again that if people living in nursing homes have a friend or family member visiting regularly and demanding excellence, care is better. Our goal for nursing homes is to create homes where people live and work with meaning and purpose. Nursing homes receive Medicaid payment for achieving certain measures of quality and we have provided many resources to help them make progress. Now, consumers must raise their own expectations for quality and person-centered care.

Use the following guides to learn what the quality incentives mean for you and your loved ones, as well as ask the right questions to make sure that any facility you are considering has quality, person-centered care as a priority. These printable guides require Adobe Acrobat Reader or equivalent to view. Where available, click the Click to watch video on YouTube. video icon to watch "Conversations with Bonnie and Bev" on that topic.





  • Consumer information coming soon.

Staffing Measures

  • Consistent Assignment Click to watch video on YouTube.
  • Staff Retention Click to watch video on YouTube.
  • More consumer information coming soon.

Download all consumer guides.



Ohio Department of AgingOhio Department of HealthOhio Department of Job and Family Services


Office of the State Long-term Care OmbudsmanOhio Person-Centered Care Coalition