1. Sharts-Hopko, Nancy C. PhD, RN, FAAN

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I applaud the attention given to assisted living in the August 2003 issue. The Editorial and Ethel L. Mitty's Policy Perspectives article were enlightening.


One important point needs to be made: The Centers for Medicare and Medicaid Services (CMS) is not authorized to enforce quality-of-care standards in assisted living facilities, as it does in skilled nursing homes. Nurses must address this limitation in CMS's authority.


Nancy C. Sharts-Hopko, PhD, RN, FAAN