Blog Nursing Home Abuse Center Blog
An older adult and family member review documents with a woman seated across from them.

3 Min Read

CMS Can Now Cut Nursing Home Funding: What Families Should Know

The federal government can now cut nursing home funding faster than ever. In 2026, the Centers for Medicare & Medicaid Services (CMS) gained new power to exclude nursing homes from Medicare and Medicaid. Most facilities depend on these programs to pay for residents’ care.

For families, this is about more than money. Losing federal funding can put a facility under serious financial pressure, which can disrupt the care your loved one relies on and increase the risk of nursing home neglect.

A nursing home that loses this funding may be forced to:

  • Change ownership or management
  • Close entirely, forcing residents to move
  • Cut staff or services as money runs out

CMS’s crackdown is meant to remove bad actors, but even good facilities could be affected. Here’s what families need to know and how to protect a loved one if their nursing home’s future is at risk.

Why Is CMS Increasing Oversight of Nursing Homes?

The new CMS nursing home exclusion power is part of a larger federal push to remove providers suspected of fraud, waste, abuse, or neglect. CMS is now using artificial intelligence and financial reviews to flag suspicious claims before money goes out.

Did You Know

The broader enforcement effort is already underway. CMS revoked 1,413 providers and suppliers in the first three months of 2026

Federal officials also froze over $1 billion in Medicaid payments to California and Minnesota while investigating possible improper payments.

Officials say these steps protect residents and taxpayers. However, legal experts warn that computer-driven enforcement could wrongly flag good nursing homes over paperwork errors.

That means even a facility providing quality care could face sudden funding problems.

How Could Nursing Home CMS Exclusions Affect Residents?

When a nursing home loses Medicare and Medicaid funding, residents often feel the effects first. Even before a facility changes hands or closes, financial stress can hurt daily care.

Losing funding could affect residents through:

  • Care disruptions: Money problems can lead to staffing cuts, fewer services, and inconsistent care. Understaffing is a leading cause of nursing home abuse and neglect.
  • New caregivers: Ownership or staffing changes can replace the people a resident knows and trusts.
  • Payment confusion: Families may be left wondering how their loved one’s care will be covered.
  • Relocation: If a facility closes, residents must move, leaving behind familiar caregivers, friends, and routines. Transfers are especially hard on residents with dementia or complex medical needs.

Families who understand these risks can spot warning signs early and prepare before a facility’s problems affect their loved one’s safety.

What Should Families Do if a Nursing Home Is at Risk of Losing Funding?

Losing federal funding does not automatically mean a nursing home will close. However, it can create real uncertainty about the facility’s future and your loved one’s care.

Here are 7 things families can do to protect a loved one:

  1. Ask questions: Find out why the facility is at risk and what administrators are doing about it. Ask if changes to ownership, staffing, or services are expected.
  2. Watch for official notices: Keep copies of letters, emails, and other updates about the facility’s Medicare or Medicaid status.
  3. Confirm coverage: Ask how your loved one’s care will be paid for and whether their benefits will continue.
  4. Monitor your loved one’s care: Pay attention to changes in staffing, medications, hygiene, meals, or medical treatment.
  5. Document concerns: Keep records of injuries, incidents, changes in care, and conversations with staff.
  6. Research alternatives: If closure seems possible, start looking at other nursing homes before a move becomes urgent.
  7. Report suspected abuse or neglect: If you believe your loved one is being harmed, report it and consider speaking with an attorney.

Most importantly, do not wait for a facility’s problems to affect your loved one’s safety before acting. Staying alert and speaking up early can make all the difference.

Get Help After Nursing Home Abuse or Neglect

Funding problems, staffing cuts, and ownership changes can all affect the quality of a resident’s care. When a nursing home falls short, residents can suffer serious and preventable harm.

If you believe your loved one was harmed in a nursing home or other long-term care facility, you may have legal options. Our team is here 24/7 to listen to what happened and connect you with experienced attorneys who can explain the steps your family can take.

Call us right now at (855) 264-6310 or get a free case review. There’s no cost to speak with us, so you don’t have to face this alone.

Nursing Home Abuse Support TeamLast modified:
Julie Rivers HeadshotReviewed by:Julie Rivers, MBA, CSA

Eldercare Advocate & Certified Senior Advisor

  • Fact-Checked
  • Editor

Julie Rivers is an eldercare advocate with over 25 years of experience focused on nursing home resident safety. She began as a case manager at a nursing home law firm, working with families in crisis. She is a Certified Senior Advisor and also cared for her mother through Alzheimer’s. Her business training deepens her understanding of how for-profit facilities operate.

The Nursing Home Abuse Center (NHAC) was founded to bring justice to those affected by nursing home and elder abuse. Our mission is to educate and empower victims of abuse and their families to take a stand against this unlawful mistreatment. We work to return dignity back to those who have been broken down by nursing home abuse and neglect.

  1. McKnights Long-Term Care News. (2026). UPDATED: New exclusion authority expected to be ‘force multiplier’ for CMS fraud enforcement. Retrieved from https://www.mcknights.com/news/exclusion-authority-to-be-force-multiplier/.