The Alliance for Quality Nursing Home Care (“The Alliance”) is a coalition of 16 national long term care provider organizations that care for approximately 300,000 elderly and disabled patients each year in nearly 1,800 facilities across America. The Alliance is dedicated to improving the quality of nursing home care in the United States through measured results and outcomes and to assuring the government resources necessary to provide high quality care and services.

In July 2002, as part of a broader initiative to improve quality care at nursing homes, the Alliance developed the Quality First Pledge and Code of Conduct. The pledge outlines specific and measurable steps the signatories must take to improve quality outcomes in nursing facilities over time. The Quality First Pledge is signed by every Alliance member company. In March 2006, the Alliance hosted the first provider-organized conference devoted exclusively to quality improvement in the nation’s nursing facilities. During the conference, government officials and nationally recognized experts noted substantial quality improvement in recent years, particularly among Alliance member companies.