Nursing homes (1 - 10 of 40 items)
Nursing Homes: Some Improvement Seen in Understatement of Serious Deficiencies, but Implications for the Longer-Term Trend Are Unclear
GAO-10-434R: Published: Apr 28, 2010. Publicly Released: May 27, 2010.
Federal and state governments share responsibility for ensuring that nursing homes provide quality care in a safe environment for vulnerable elderly or disabled individuals who can no longer care for themselves. States survey nursing homes annually under contract with the Centers for Medicare & Medicaid Services (CMS), the federal agency responsible for ensuring the effectiveness of state surveys...
Elderly Voters: Information on Promising Practices Could Strengthen the Integrity of the Voting Process in Long-term Care Facilities
GAO-10-6: Published: Nov 30, 2009. Publicly Released: Nov 30, 2009.
Voting is fundamental to the U.S. democratic system and federal law provides broad protections for people with disabilities, including older voters. Many long-term care facility residents, who often have physical or cognitive impairments, vote by absentee or early ballot. Concerns have been raised about the extent to which states and localities are helping the increasing number of facility residen...
Nursing Homes: Responses from Two Web-based questionnaires to Nursing Home Surveyors and State Agency Directors (GAO-10-74SP), an e-supplement to GAO-10-70
GAO-10-74SP: Published: Nov 24, 2009. Publicly Released: Nov 24, 2009.
This is an E-supplement to GAO-10-70. This document presents the responses from two Web-based questionnaires on the process for identifying and citing nursing home deficiencies. We collected this information to study and report on the factors that contribute to the understatement of serious deficiencies on nursing home surveys. We developed two Web-based questionnaires--one for the nursing home su...
Medicare and Medicaid Participating Facilities: CMS Needs to Reexamine Its Approach for Funding State Oversight of Health Care Facilities
GAO-09-64: Published: Feb 13, 2009. Publicly Released: Mar 19, 2009.
Americans receive care from tens of thousands of health care facilities participating in Medicare and Medicaid. To ensure the quality of care, CMS contracts with states to conduct periodic surveys and complaint investigations. Federal spending on such activities totaled about $444 million in fiscal year 2007; states are expected to contribute their own funds both through the Medicaid program and a...
Medicaid Long-Term Care: Few Transferred Assets before Applying for Nursing Home Coverage; Impact of Deficit Reduction Act on Eligibility Is Uncertain
GAO-07-280: Published: Mar 26, 2007. Publicly Released: Apr 25, 2007.
The Medicaid program paid for nearly one-half of the nation's total long-term care expenditures in 2004. To be eligible for Medicaid long-term care, individuals may transfer assets (income and resources) to others to ensure that their assets fall below certain limits. Individuals who make transfers for less than fair market value (FMV) can be subject to a penalty that may delay Medicaid coverage....
VA Long-Term Care: Data Gaps Impede Strategic Planning for and Oversight of State Veterans' Nursing Homes
GAO-06-264: Published: Mar 31, 2006. Publicly Released: Mar 31, 2006.
The Department of Veterans Affairs (VA) provides or pays for veterans' nursing home care in three settings: VA-operated nursing homes, privately owned nursing homes in the community from which VA purchases services, and state veterans' nursing homes. VA supports state veterans' nursing homes in a number of ways, including reimbursement for a portion of the cost of providing nursing home services t...
Nursing Home Deaths: Arkansas Coroner Referrals Confirm Weaknesses in State and Federal Oversight of Quality of Care
GAO-05-78: Published: Nov 12, 2004. Publicly Released: Nov 17, 2004.
GAO was asked to assess the effectiveness of nursing home oversight by considering the effect of a unique Arkansas law that requires county coroners to investigate all nursing home deaths. Coroners refer cases of suspected neglect to the state survey agency and law enforcement entities such as the state Medicaid Fraud Control Unit (MFCU). The Centers for Medicare & Medicaid Services (CMS) contract...
Nursing Home Fire Safety: Recent Fires Highlight Weaknesses in Federal Standards and Oversight
GAO-04-660: Published: Jul 16, 2004. Publicly Released: Jul 16, 2004.
In 2003, 31 residents died in nursing home fires in Hartford, Connecticut, and Nashville, Tennessee. Federal fire safety standards enforced by the Centers for Medicare & Medicaid Services (CMS) did not require either home to have automatic sprinklers even though they have proven very effective in reducing the number of multiple deaths from fires. GAO was asked to report on (1) the rationale for no...
Medicaid: Improved Federal Oversight of State Financing Schemes Is Needed
GAO-04-228: Published: Feb 13, 2004. Publicly Released: Mar 16, 2004.
For years, some states have taken advantage of a loophole in Medicaid law that allows them to claim billions of dollars in excessive federal matching funds by exploiting the "upper payment limit" (UPL), which is intended to be a ceiling on federal cost sharing. Congress and the Centers for Medicare & Medicaid Services (CMS) acted to curtail UPL financing schemes through law in 2000 and regulation...
Nursing Homes: Federal Efforts to Monitor Resident Assessment Data Should Complement State Activities
GAO-02-279: Published: Feb 15, 2002. Publicly Released: Mar 18, 2002.
Nursing homes that participate in Medicare and Medicaid must periodically assess the needs of residents in order to develop an appropriate plan of care. Such resident assessments are known as the minimum data set (MDS). According to officials in the 10 states with MDS accuracy review programs in operation as of January 2001, these programs were established to set Medicaid payments and identify qua...