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

New Jersey's S 1831 revises how nursing homes are assessed for quality and safety. It requires the Department of Health to create specific metrics across three areas: resident physical well-being (e.g., bedsores, falls), mental well-being (e.g., antipsychotic use, depression), and operational factors (e.g., staff turnover, vaccination rates, abuse reports). Nursing homes failing to meet these standards in two out of three categories for multiple quarters face escalating consequences, starting with warnings and potentially leading to restrictions on new admissions, reduced Medicaid payments, or even resident removals. Facilities with persistent low performance must submit a 18-month improvement plan for review by state agencies.