This bill mandates the New Jersey Department of Health (DOH) to implement a series of reforms aimed at improving long-term care facilities, particularly nursing homes. Key provisions include the development of a demonstration project for dementia care villages, encouragement of new construction and renovations focused on private accommodations, and the elimination of high-occupancy bedrooms. The bill also seeks to prevent the establishment of large, hospital-style nursing homes, facilitate the downsizing of existing facilities, and ensure that nursing home regulations meet or exceed federal standards, particularly regarding residents' rights. Additionally, it emphasizes the importance of staffing ratios, financial transparency, and the establishment of a statewide essential caregiver policy.

Furthermore, the bill outlines specific actions for the Commissioner of Health, such as enhancing infection control measures, improving airflow systems, and incentivizing vaccination rates among residents. It also calls for the reform of the state's quality incentive payment program to include performance metrics that reflect the quality of care provided. The bill aims to create a more supportive environment for residents and their families by establishing a resident and family support network and expanding the presence of resident and family councils in nursing homes. Overall, the legislation seeks to enhance the quality of care and living conditions for individuals in long-term care settings across New Jersey.