Citizens For Better Care is a nonprofit advocacy agent for residents of  long-term care facilities, including nursing homes, located in Michigan. It is an excellent source of information about nursing homes, regulations that govern long-term care facilities and much more! They also provide training for those who work in long-term care settings. Information included on the website reflect some of the daily care requirements that nursing homes must meet. A Fact Sheet notes that the Federal and Michigan Nursing Home Reform laws create care standards and requirements for nursing homes. The Michigan law applies to nursing homes in Michigan and the Federal law applies to Medicare and Medicaid approved nursing homes. The web site notes that almost all Michigan nursing homes are approved by Medicare and Medicaid and also reveals the following: Federal law contains four key standards for nursing home care: 1. The nursing home must provide services to help each resident attain or maintain the highest practicable physical, mental and psychosocial well-being. 2. A resident’s ability to bathe, dress, groom, transfer, walk, toilet, eat and communicate must not decline unless it is medically unavoidable. 3. If a resident is unable to carry out activities of daily living, he or she must receive help to maintain good nutrition, grooming and personal and oral hygiene. 4. Each resident had the right to make choices about his or her care.