What are the major strengths and weaknesses of the nursing home survey process in assuring that residents have high levels of quality of care and quality of life?

Based on information provided and your independent research, please answer:

What are the major strengths and weaknesses of the nursing home survey process in assuring that residents have high levels of quality of care and quality of life?

Articles to read:

Castle, N.G., & Ferguson, J.C. (2010, August). What is Nursing Home Quality and How is it Measured. Gerontologist; 50(4): 426–442. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2915498/

CMS (2019). Quality Measures. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIQualityMeasures.html

Dicken, J.E. (2018). Nursing Home Quality: Continued Improvements Needed in CMS’s Data and Oversight. https://www.gao.gov/assets/700/694324.pdf

Li, Q. et al. (2018, April). Technical Expert Panel Summary Report: Development and Maintenance of Quality Measures for Skilled Nursing Facility Quality Reporting Program. Research Triangle Park, NC: RTI International.

https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Post-Acute-Care-Quality-Initiatives/Downloads/TEP-Summary-Report_April-2018_Development-and-Maintenance-of-Quality-Measures-for-SNF-QRP.pdf.