Civil Monetary Penalties
Grant Opportunities

About CMP Reinvestment Funds

The U.S. Centers for Medicare & Medicaid Services (CMS) may impose federal monetary penalties against a Medicare-certified nursing home when it is not in compliance with Medicare and Medicaid participation requirements.

CMS returns a portion of the funds to the states where the civil monetary penalties (CMPs) are imposed. These funds are reinvested via a grant process to support activities that benefit nursing home residents by improving their quality of care and their quality of life.

The following are broad examples of uses of CMP funds that may be approved for use by CMS-certified nursing homes, provider type 26 (Note: swing bed facilities, provider type 03 are ineligible):

  • Direct improvements to quality of care.
  • Direct improvements to quality of life/Culture Change.
  • Facility improvement initiatives approved by CMS, such as technical assistance for facilities implementing quality assurance and performance improvement programs, facility staff and surveyors training.
  • Projects that support resident and family councils and other consumer involvement in assuring quality care in skilled nursing facilities (SNFs).
  • Consumer information.
  • Assistance to support and protect residents of a facility that closes or is decertified.
  • Time-limited expenses incurred while relocating Medicare or Medicaid residents to home and community-based settings or to another facility when a facility is closed or downsized pursuant to an agreement with the state Medicaid agency.

CMP reinvestment funds cannot be used for research, indirect benefits to nursing home residents, capital improvements, duplication of Centers for Medicare & Medicaid Services (CMS) requirements or nursing home employee salaries.

For general information on the federal CMP program, allowable and non-allowable uses of CMP funds, and examples of funded projects, see the CMS webpages

CMP Reinvestment Grant Opportunities

The CMP grant funding for CMS-certified nursing homes is available for the following projects:

  • Sustainable projects that:
    • Collaborative safety;
    • reduce slips and falls;
    • improves infection control (more specifically urinary tract issues);
    • reduces emergency room and/or hospitalization; and,
    • improves mental health of staff and/or residents such as:
      • Mental health/substance abuse education for staff, residents, and families
      • Training for facility staff on assessing, interventions and treatment/services options—this can include tools used for assessing but not actually doing the assessment
      • Mental health tools/activities/exercises that are beneficial for mental health for residents and staff
  • Reinvestment Projects: Funding for a variety of projects for nursing homes to benefit residents. Projects can span a wide array of topics and involve improving the quality of life for residents.

CMP Project Spotlights


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