View or download a PDF of the letter here.

AFREF submitted a letter with partner organizations expressing a mutual concern about the lack of transparency regarding the ownership and control of nursing facilities that serve Medicare and Medicaid beneficiaries. We further share the Centers for Medicare and Medicaid Services’ (CMS) concern about certain types of owners – private equity (PE) firms and real estate investment trusts (REIT) – degrading standards of care in nursing facilities. We support CMS’s action with this proposed rule to bring needed accountability for substandard care to nursing facility owners, and we urge prompt final adoption and strong enforcement of the rule.