Faced with an aging population and decline in family support functions, nursing homes are an increasingly essential component of long-term care in Taiwan. Furthermore, the demand for high-quality nursing home care is on the rise. Taiwan launched a nursing home accreditation program in 2009. Subsequently, in 2017, in response to criticism and suggestions from the public, the Ministry of Health and Welfare sought to reform the accreditation system for nursing homes by streamlining the system and standards in accordance with resident safety and care quality. At the time of this review, approximately one decade had passed since the implementation of the aforementioned nursing home accreditation program. This paper reviews the process of nursing home accreditation and provides recommendations for future reform.