A Downward Shift In Nursing Home Fines

Collections from federal fines assessed on nursing homes that violate health and safety rules have dropped under the Trump administration — even though the government is issuing more penalties. Officials now are more often assessing one-time “per instance” fines, while the Obama administration relied more heavily on fines that were calculated based on the number of days the home was out of compliance. Those “per day” fines tend to be bigger because they compound.