Nursing homes (31 - 40 of 124 items)
Nursing Homes: HCFA Should Strengthen Its Oversight of State Agencies to Better Ensure Quality Care
T-HEHS-00-27: Published: Nov 4, 1999. Publicly Released: Nov 4, 1999.
Pursuant to a congressional request, GAO discussed its study of the Health Care Financing Administration's (HFCA) implementation of two of its nursing home initiatives.GAO noted that: (1) HCFA's mechanisms for assessing state agency survey performance are limited in their scope and effectiveness and are not being applied consistently across each of HCFA's 10 regional offices; (2) as a result, HCFA...
Nursing Home Oversight: Industry Examples Do Not Demonstrate That Regulatory Actions Were Unreasonable
HEHS-99-154R: Published: Aug 13, 1999. Publicly Released: Sep 13, 1999.
Pursuant to a congressional request, GAO analyzed materials from the American Health Care Association (AHCA) to determine whether any cases reflected the actions of an overly aggressive regulatory process.GAO noted that: (1) in each of the eight cases for which there was sufficient information for an objective assessment, GAO believes appropriate regulatory action was taken; (2) in these cases, ei...
Nursing Homes: HCFA Initiatives to Improve Care Are Under Way but Will Require Continued Commitment
T-HEHS-99-155: Published: Jun 30, 1999. Publicly Released: Jun 30, 1999.
Pursuant to a congressional request, GAO discussed the Health Care Financing Administration's (HCFA) progress in implementing its recent initiatives to strengthen efforts to ensure the quality of care provided by the nation's nursing homes.GAO noted that: (1) HCFA has undertaken a wide array of changes in its nursing home oversight that can be summarized in three key areas: (a) strengthening the s...
Nursing Homes: Proposal To Enhance Oversight of Poorly Performing Homes Has Merit
HEHS-99-157: Published: Jun 30, 1999. Publicly Released: Jun 30, 1999.
Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) proposal to expand the definition of "poor performing" nursing homes to include homes with repeated actual harm violations (G-level deficiencies).GAO noted that: (1) HCFA's proposed expansion of the poor-performer criteria to include homes with repeated isolated actual harm deficiencies would substa...
Nursing Homes: Complaint Investigation Processes in Maryland
T-HEHS-99-146: Published: Jun 15, 1999. Publicly Released: Jun 15, 1999.
GAO discussed its recent findings on the effectiveness of federal and state nursing home complaint investigation processes, with a specific focus on its work in Maryland.GAO noted that: (1) federal and states' practices for investigating complaints about care provided in nursing homes are often not effective; (2) among many of the 14 states GAO examined, GAO found numerous problems, including proc...
Nursing Homes: Complaint Investigation Processes Often Inadequate to Protect Residents
HEHS-99-80: Published: Mar 22, 1999. Publicly Released: Mar 22, 1999.
Pursuant to a congressional request, GAO provided information on how states implement the federal requirement that establishes a process for nursing home complaint investigations, focusing on the: (1) effectiveness of state complaint investigation practices as a component of the system to ensure sustained compliance with federal nursing home quality-of-care standards; and (2) Health Care Financing...
Nursing Homes: Stronger Complaint and Enforcement Practices Needed to Better Ensure Adequate Care
T-HEHS-99-89: Published: Mar 22, 1999. Publicly Released: Mar 22, 1999.
Pursuant to a congressional request, GAO discussed the effectiveness of complaint and enforcement practices to protect nursing home residents, and to ensure that homes participating in Medicare and Medicaid comply with federal standards, focusing on the: (1) effectiveness of states' complaint practices in protecting residents; (2) Health Care Financing Administration's (HCFA) role in establishing...
Nursing Homes: Additional Steps Needed to Strengthen Enforcement of Federal Quality Standards
HEHS-99-46: Published: Mar 18, 1999. Publicly Released: Mar 18, 1999.
Pursuant to a congressional request, GAO provided information on the enforcement of federal nursing home standards, focusing on: (1) national data on the existence of serious deficiencies in nursing home compliance with Medicare and Medicaid standards; and (2) the use of sanction authority for homes that failed to maintain compliance with the standards.GAO noted that: (1) GAO's work showed that wh...
California Nursing Homes: Federal and State Oversight Inadequate to Protect Residents in Homes With Serious Care Violations
T-HEHS-98-219: Published: Jul 28, 1998. Publicly Released: Jul 28, 1998.
GAO discussed its findings on nursing home care in California, focusing on: (1) care problems identified in recent state and federal quality reviews that California conducted in the last 2 or 3 years; (2) obstacles to federal and state efforts to identify care problems; and (3) implementation of federal enforcement policies to ensure that homes correct problems identified and then sustain complian...
California Nursing Homes: Care Problems Persist Despite Federal and State Oversight
HEHS-98-202: Published: Jul 27, 1998. Publicly Released: Jul 27, 1998.
Pursuant to a congressional request, GAO reviewed allegations that residents in California nursing homes are not receiving acceptable care, focusing on: (1) examining, through a medical record review, whether these allegations had merit and whether serious care problems currently exist; (2) reviewing the adequacy of federal and state efforts in monitoring nursing home care through annual surveys;...