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Civil Money Penalty Reinvestment Program

About the Civil Money Penalty Reinvestment Program (CMPRP)


As part of its continued commitment to the nation’s most vulnerable populations, the Centers for Medicare & Medicaid Services (CMS) has launched the Civil Money Penalty Reinvestment Program (CMPRP), a three-year effort to reduce adverse events, improve staffing quality and improve dementia care in nursing homes.

To aid teams with this effort, the CMPRP offers several free resources and opportunities for nursing homes.

  • Ready to learn more about how toolkits can be used to assess, measure and improve quality in your nursing home or a nursing home near you? Visit the toolkits under the downloads section here to learn more.
  • Think your nursing home or a nursing home near you could benefit from technical assistance from CMPRP staff and subject matter experts?
  • Want to apply for Civil Money Penalty (CMP) funding to support quality improvement? Learn about the application process here. 

Toolkit Resources (available under the downloads section of this page) are to aid nursing home teams in reducing adverse events, improving staffing quality and improving dementia care. The CMPRP team offers several resources and participation opportunities. Below are a series of toolkits meant to assist teams with improving staff competency and employee satisfaction.

All toolkits are expected to be available to download on this website by next summer. See Toolkit 1 under downloads now.

Toolkit 1: Nursing Home Staff Competency Assessment (Available Now)

PLEASE NOTE: Save documents to your Desktop in order to use all functions of the documents. If you have questions, email the CMPRP team at 

Quality care is complex. That’s why the CMPRP competency assessment helps nursing homes break down and self-examine some of the most important building blocks of quality care. Use the competency assessment to identify areas where your nursing home is doing well, versus where your facility might need support. Once you know where you need support, CMPRP can provide funding, technical assistance and learning opportunities to help address some of your facility’s toughest challenges, in order to offer the best possible care to your residents.

There are three competency assessments in print and electronic formats:

1) Certified Nursing Assistants (CNA)/Certified Medication Technicians (CMT)

2) Licensed Practical/Vocational Nurses (LVN/LPN) and Registered Nurses (RN)

3) Assistant directors of nursing (ADON), directors of nursing (DON) and administrators.

The assessments pose questions about behavioral, technical and resident-based competencies and should be completed as needed. This toolkit (Toolkit 1), which includes the competency assessment and supporting materials, can support your nursing home’s existing learning and development standards of practice. The toolkit also includes an Instruction Manual to support managers in implementing the assessment. The guide provides resources, including: videos; talking points; an email memo; a poster; an assessment completion tracker; a manager’s guide to meeting one-on-one with staff; and an assessment results worksheet to compile and analyze results.

Toolkit 2:  Nursing Home Employee Satisfaction Survey (Available Now)

PLEASE NOTE: Save documents to your Desktop in order to use all functions of the documents. If you have questions, email the CMPRP team at

The employee satisfaction survey can help your nursing home to recruit, motivate and retain staff. After all, nursing home employees are critical to better resident health and quality of life.

This free, anonymous survey offers facility employees an opportunity to share their perceptions about the nursing home workplace. Survey topics include:

  • Employee engagement and team building
  • Job satisfaction
  • Management and leadership
  • Scheduling and staffing
  • Training

Supporting resources are available to support managers in implementing the survey, as well as aggregating and interpreting survey results, including:

  • Implementation Guide with talking points, an email memo, and poster
  • Data Collection & Analysis Tool to compile and analyze survey results
  • Videos: Watch these two videos to get started:

Not sure if staff satisfaction is your facility’s biggest issue? Use CMPRP’s free competency assessment, also available in the download section, to find out.

Toolkit 3:  Guide to Improving Nursing Home Employee Satisfaction (Future Toolkit)

There are a lot of resources out there to help nursing facilities improve quality, but it can be overwhelming to identify which are most relevant to your facility’s specific needs and to stay up-to-date on the latest guidance. This employee satisfaction guide helps nursing homes determine the most appropriate and helpful resources to address challenges.

Once your facility completes the employee satisfaction survey, you will be ready to address the identified improvement opportunities. The employee satisfaction guide is a repository of evidence-based approaches, solutions and interventions to address challenging areas discovered through the survey.

If you have questions, email the CMPRP team at

Breakthrough Communities and Technical Assistance

 A Breakthrough Community is a voluntary and customized health care improvement program that is based on a model designed by the Institute for Healthcare Improvement (IHI). Its goal is to achieve “breakthrough” improvement in nursing homes that may be experiencing challenges in one of two program areas: reducing adverse events and/or improving dementia care.

In Breakthrough Communities, nursing homes work with their peers to test interventions that will lead to improvement in quality of life and quality of care for residents of nursing homes.

If you are interested and want to apply, please email

Technical Assistance To improve dementia care, CMS funds and provides one-to-one Technical Assistance (TA) to a selection of nursing homes through the CMPRP. One-to-one TA will be customized to your nursing home to address unique barriers in improving quality of life and quality of care for residents with dementia.

The purpose of one-to-one TA is to provide education and support to nursing homes’ quality improvement processes, including root cause analysis and the development of a performance improvement plan framework for the improvement of dementia care and ensuring the appropriate use of antipsychotic medications.

If you are interested and want to apply, please email

Civil Money Penalty (CMP) Funds

About Civil Money Penalty (CMP) Funds

A CMP is a monetary penalty the Centers for Medicare & Medicaid Services (CMS) may impose against nursing homes for either the number of days or for each instance a nursing home is not in substantial compliance with one or more Medicare and Medicaid participation requirements for long-term care facilities.

A portion of CMPs collected from nursing homes are returned to the states in which CMPs are imposed. State CMP funds may be reinvested to support activities that benefit nursing home residents and that protect or improve their quality of care or quality of life.

What CMP Funds Can Be Used For

CMP funds may be used for (but not limited to) the following:

  • Assistance to support and protect residents of a facility that closes or is decertified
  • Time-limited expenses incurred in the process of relocating residents to home and community-based settings or another facility when a facility is closed or downsized pursuant to an agreement with the state Medicaid agency
  • Projects that support resident and family councils and other consumer involvement in assuring quality care in facilities

Facility improvement initiatives, such as joint training of facility staff and surveyors, or technical assistance for facilities implementing quality assurance and performance improvement programs.

How to Apply for CMP Funds

The application process for CMP funds is determined by the state in which the nursing home is located. The process for each state may differ therefore states have their own applications for CMP funds and applicants should use their state specific application and instructions.

A list of CMP contacts by state and applicable websites are available in the “Downloads” section below.

A CMP Frequently Asked Questions (FAQ) is also available in the “Downloads” section below.

Have more questions? Email the CMPRP team at

INSTRUCTIONS FOR DOWNLOADS: Save documents to your Desktop in order to use all functions of the documents. If you have questions, email the CMPRP team at