Revises requirements for assessing nursing home health, safety, and operations and for taking action against low-performing nursing homes.

This bill revises New Jersey's standards for evaluating nursing home performance and imposing penalties on low-performing facilities. It requires the Department of Health to develop specific metrics covering resident physical/mental well-being (e.g., falls, depression, medication use) and facility operations (e.g., staff turnover, vaccination rates, safety incidents), with annual reviews of these standards. Nursing homes receiving repeated low ratings (one-star from CMS or failing two metrics per category in three out of four quarters) face escalating sanctions, including warnings, restrictions on Medicaid admissions, and loss of reimbursement unless they submit and implement a 18-month improvement plan approved by state agencies. The bill also mandates annual joint reports to the Governor and Legislature on implementation, including sanction details and outcomes of improvement plans.