With the Proposed Rule, however, CMS is clearly renewing its focus on these requirements as part of a series of initiatives initially announced by the Biden administration on February 28, 2022, responding to concerns about the standard of care and quality of operations of Nursing Facilities.1 CMS is also proposing to use its discretion to go beyond the ACA and require Nursing Facilities owners and managers to specifically disclose whether they are private equity (PE) companies and real estate investment trusts (REITs), signaling a potential oversight interest.
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