To amend title XVIII of the Social Security Act to improve the quality of care in skilled nursing facilities under the Medicare Program through requiring the reporting of expenditures for nursing.

Long Term Care Quality Improvement Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to require skilled nursing facilities to separately report expenditures for wages and benefits for nursing staff (by staff level, breaking out (at a minimum) registered nurses, licensed professional nurses, and certified nurse assistants).