Nursing Homes in America

The Evolution of Nursing Homes in America

Module 1 – Case

Introduction to Quality Assurance in Long Term Care

Assignment Overview

Up to this point, you have learned a bit about rules and
regulations that govern the operation of long term care facilities Some in the
long term care industry have half-heartedly joked that “long term care is
more heavily regulated than the nuclear power industry” Whereas this may
be an exaggeration, it speaks to the fact that long term care facilities are
VERY heavily regulated

In order to appreciate the current regulatory environment in
which long term care facilities must operate, we need to understand the history
of long term care in America In order to answer the question “why do we
have so many rules and regulations in long term care,” we need to go back
in time and witness the evolution of long term care in this country

Zinn, L (1999) A good look back over our shoulders
Nursing Homes & Long Term Care Management, 48(12), 20-54 Retrieved from

Although the article is dated 1999, it is an exceptionally
well done article that chronicles the evolution of long term care in America

Case Assignment Task

In this first case assignment, you are asked to read the
background material as well as any other articles that you research and prepare
a 4-5 page paper that addresses the following:

Discuss the evolution of nursing homes in the United States

What features “shocked” or “surprised”
you the most?

What new information did you learn about long term care and
facilities in the United States?

Are regulatory bodies justified in their formulating so many
strict rules and regulations?

How does the past of long term care inform the future of
quality assurance in long term care settings?

Assignment Expectations

Your references and citations should be consistent with a
particular formatting style, such as APA

Your response should be based on this article You can pull
in outside material if you wish to substantiate a point, but that material
should be scholarly, such as peer-reviewed articles, white papers, technical
papers, etc Do not include information from non-scholarly materials such as
Wikis, encyclopedias, wwwfreearticlescom (or similar websites)

Your response should incorporate the objectives of the
module with the requirements of this assignment

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