Most felt that Oregon's standards were good, even if they needed fine tuning in a few areas. One noted that it was highly unlikely that Oregon, or any other state, would adopt national standards, because states do not like to use other's rules. One noted a need for standards and said that good ideas are always welcome but strongly opposed the mandating of national standards.
Any time you mandate standards you get what is in nursing homes--very prescriptive and not necessarily leading to better care. I don't want federal oversight and a one size fits all approach. Best practices? Absolutely. National oversight? Not on your life. We have quite enough oversight with the waivers. There is no need for federal oversight of residential care.