By classifying nursing homes in five categories by services and resources available, and by tying payment for state patients to rates set in relation to this classification, one state has greatly improved the quality of care provided. Nursing, dietary, and medical services have been upgraded, and many more homes are providing other rehabilitative and therapeutic services. Now, after five years, there are more than five times as many beds in homes in the highest class and only one-fifth as many beds in the lowest category.
Foote FM. Progress in Nursing Home Care. JAMA. 1967;202(4):296-298. doi:10.1001/jama.1967.03130170096015