States are now piloting artificial-intelligence tools designed to detect quality problems in nursing homes much earlier than traditional oversight allows. Multiple state health departments have begun testing systems that scan resident care-records, staffing data and incident reports to flag potential trouble spots ahead of routine inspections. The idea is to move from reactive investigations to more proactive oversight. Facility staff report alerts emerging in hours or days instead of weeks, giving them a chance to act sooner. Advocates say this could improve resident safety, reduce emergency transfers and ease strain on inspectors. For families, that means fewer surprises and greater transparency about how care is delivered. While still in early stages, these projects suggest AI may become a key part of how states monitor long-term-care quality going forward.