title: Nursing facility chains with "performance problems" targeted once again under HCFA's latest draft state operations manual.
mesh_terms: D000368:Aged; D014487:Centers for Medicare and Medicaid Services, U.S.; D005161:Facility Regulation and Control / Q000331:legislation & jurisprudence; D019983:Guideline Adherence / Q000331:legislation & jurisprudence*; D006801:Humans; D006278:Medicare / Q000592:standards; D009096:Multi-Institutional Systems / Q000592:standards; D011785:Quality Assurance, Health Care / Q000331:legislation & jurisprudence*; D012866:Skilled Nursing Facilities / Q000592:standards*; D014481:United States