Long-term care facilities choose to participate in the program. The NCHCFA Standards and Ethics Committee oversees a rigorous review process which evaluates facility performance through facility reports and site visits by trained peer reviewers.
Facilities that score in the 90% or above are recognized as a NCHCFA Peer Review Meritorious Performer.
A Meritorious Performer is eligible for renewal every two years. If a score falls below 90, facilities may request another review in six months.