Nursing Home Quality Metrics Improve as ER Visits Drop 3.8%, Report Finds

Nursing homes have achieved measurable improvements in quality of care according to a new report from the American Health Care Association, with emergency room visits dropping 3.8% and workforce stability returning to the sector. The findings suggest the industry is making progress in the post-COVID era.

The report, released in April 2026, analyzed data from 2023 to 2025 and found that facilities across the country improved on key post-acute care metrics. The decline in ER visits indicates better management of resident conditions and more effective preventive care within nursing facilities.

Workforce stability has emerged as a critical factor in the quality improvements. After years of turmoil, turnover rates have begun to normalize and many facilities report stronger hiring pipelines. The stabilization of staffing has allowed providers to focus on clinical quality initiatives rather than constant recruitment.

The quality gains extend beyond emergency department utilization. Providers have implemented enhanced infection control protocols, improved medication management systems, and strengthened care transition processes. These investments are now showing results in measurable outcomes.

Industry leaders attribute the progress to several factors, including increased use of technology for clinical surveillance, better staff training programs, and improved coordination with hospitals and physician groups. The focus on reducing avoidable hospitalizations has become a central priority.

The report also highlights the role of value-based purchasing initiatives in driving quality improvement. Facilities participating in quality incentive programs have shown particularly strong results, suggesting that financial incentives can motivate meaningful change.

While challenges remain, the data provides evidence that the sector is capable of delivering high-quality care when given appropriate resources and support. Advocates hope the findings will inform policy discussions about nursing home regulation and reimbursement.