to ensure expanding quality assurance in nursing homes, they were rewarded with a one-time bonus of €1536 if a caretaker reaches a better care level due to good care. to prevent abuse, the more favorable classification has to remain at least six months. it also specifies that the health care insurance pays a settlement amount of €3,072 if the rehabilitation can be provided in time. thus, transition from hospital care to rehabilitation and maintenance work should be seamless. to insure the quality of institutions, expert standards bodies should be established.