Specifications include, but are not limited to: To support and provide quality assurance and process improvement through root cause analysis and quality improvement support for Nursing facility, skilled nursing facility, or dually-participating skilled nursing facilities that have high level of deficiency citations, high frequency of deficiency citations, recurring deficiency citations, and/or poor performance quality measures as reported to the CMS national Minimum Data Set 3.0. The objective is to identify a Supplier, or multiple Suppliers, with the capability to offer evidence-based interventions and services that benefit, protect or improve nursing home services for residents of nursing facilities, skilled nursing facilities, and dually-certified skilled nursing facilities, in accordance with CMS requirements.