This report provides an overview of the findings of the regulation of designated centres for older people (nursing homes) in Ireland throughout 2018 by the Chief Inspector of Social Services within the Health Information and Quality Authority (HIQA). At the end of 2018, there were 581 nursing homes in Ireland registered with HIQA, providing a home to over 31,250 people. During 2018, inspectors carried out 542 inspections of 444 nursing homes.