Welcome to the Long Term Care Institute, Inc. (LTCI) a non-stock corporation located in Madison, WI.  Since 1999 LTCI has been to over 3,500 healthcare facilities conducting quality reviews and external regulatory surveys.   LTCI staff members have developed and conducted many large and small-group training sessions on a range of topics for various types of healthcare organizations.  LTCI is committed to your healthcare organization’s success and to improving the lives of residents and patients.

LTCI is a leading organization focused on long term care quality and performance improvement, compliance program development, and review in long term care, hospice and other residential care settings.  With vast experience and expertise in quality assurance and performance improvement (QAPI), health care regulation and the survey process, compliance programs and systems development, LTCI helps healthcare organizations, government agencies, research organizations, and liability insurers evaluate and improve performance outcomes through:

  • External regulatory surveys.
  • External monitoring of corporate compliance and internal quality assurance.
  • External monitoring of quality of care and services for government agencies.
  • QAPI program development and review.
  • Training programs in:
    • QAPI;
    • Compliance (healthcare, corporate and regulatory); and
    • Culture change and culture transformation.
  • Liability insurance risk management.
  • Research and analysis for long term care study projects.


LTCI’s primary asset is its interdisciplinary staff of health care professionals with extensive clinical, regulatory, administrative and research experience.

LTCI staff includes nurses, therapists, dieticians and nutritionists, and healthcare administrators. Many LTCI staff also have additional certifications in healthcare compliance from HCCA (Health Care Compliance Association), speech and language pathology from ASHA (American Speech-Language-Hearing Association), developmental disabilities from NAQ (National Association of Developmental Disability Professionals), MDS resident assessment coordination from AANAC (American Association of Nurse Assessment Coordination), and training on the Life Safety Code for health care providers from NFPA (National Fire Protection Association).

The LTCI team has an extensive knowledge of the CMS long term care survey process. Many LTCI staff members have previously been state and federal surveyors and have been involved in multiple projects for CMS to revise or redesign the long term care survey process. LTCI staff also has in depth knowledge of the Minimum Data Set (MDS 3.0) and the Quality Measures (QM).

LTCI has staff with experience managing and operating skilled nursing facilities/centers (SNFs), home health agencies and hospices; developing, implementing and reviewing compliance programs for individual and multi-facility/center nursing and skilled nursing facility organizations, home health agencies and hospices; and surveying and regulating home health, hospice, hospital, and ESRD providers.