A bill to require unannounced State inspections of public and private extended care facilities, skilled nursing homes, and intermediate care facilities and to require State enforcement of guarantees of rights of the patients in such facilities.

Requires unannounced State inspections of public and private extended care facilities, skilled nursing homes, and intermediate care facilities as a criteria for eligibility for Medicaid payments under title XIX of the Social Security Act. Specifies that States must impose a fine of up to $300 for willful refusal to permit such inspections.

Requires States to enforce specified guarantees of rights of patients in such facilities, including guarantees: (1) that the patient's civil and religious liberties will not be infringed; (2) that the patient has the right to private communications with his physician, attorney, or any other person; and (3) that the patient has the right to have privacy in treatment and in caring for personal needs and confidentiality in the treatment of personal and medical records.