NJ S3894

Requires New Jersey Department of Health to develop minimum standards for nursing homes in three categories: physical well-being (bed sores, falls, restraints, infections, hospitalizations), mental well-being (antipsychotic use, group activities, depression symptoms), and operational metrics (CoreQ scores, vaccinations, staff turnover, abuse incidents).

Establishes a tiered enforcement system where nursing homes receiving one-star CMS ratings or failing to meet DOH standards face escalating consequences: first occurrence triggers a warning, two occurrences in four quarters leads to sanctions evaluation, and three occurrences in four quarters triggers more severe sanctions.

Sanctions may include prohibiting new Medicaid admissions, removing current Medicaid residents, suspending quality incentive payments, and barring owners/operators from obtaining interests in other New Jersey nursing homes.

Requires nursing homes with three poor ratings in four quarters to submit 18-month improvement plans; facilities that fail to comply become ineligible for Medicaid reimbursement and must relocate Medicaid residents.

Mandates annual joint reports from DHS and DOH to the Governor and Legislature evaluating the effectiveness of these measures in improving nursing home care quality.