In 3-year intervals, the Medical Service of the Health Insurers (MDS) issued comprehensive federal reports on the quality of professional care, the last one (Medizinischer Dienst der Spitzenverbände der Krankenkassen,2007) based on quality controls in more than 4,200 nursing homes and 3,700 in-home nursing services. These reports gained considerable public attention. Their focus—quality of care—goes beyond elder abuse.