A bill to require unannounced State inspection 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 States to enter into agreements with the Secretary of Health, Education, and Welfare under which the State will agree to periodically inspect public and private extended care facilities, skilled nursing homes, and intermediate care facilities. Provides that eligibility for Federal payments under title XIX (Medicaid) of the Social Security Act is contingent upon such an inspection program.

Directs States to impose a fine of up to $300 for willful refusal to permit any inspection required by this Act.

Requires States to enforce specified guarantees of rights of patients in public and private extended care facilities, skilled nursing homes, and intermediate care facilities, including a guarantee of the patients' right to receive adequate, high quality, and appropriate medical care.