Review of the Use of Additional Resources Provided to Forest Haven To Correct Medicaid Deficiencies
HRD-79-49: Published: Apr 3, 1979. Publicly Released: Apr 16, 1979.
- Full Report:
A review was requested of the District of Columbia Government's use of additional funding and positions provided by Congress in fiscal year 1977 to Forest Haven, a residential facility for the care and treatment of the mentally retarded. The review included an examination of the extent to which these additional resources helped Forest Haven comply with Federal standards under the Medicaid program and the extent to which it now complies with them. The review included an examination of the administrative and management matters including procurement maintenance, and use of overtime.
The management, staff, and residents of Forest Haven are confronted by a dilemma concerning the future. The two requirements, deinstitutionalization and renovation, are consistent since they both seek quality care for residents. However, the court order involves spending money, developing services, and assigning staff in the community. The Medicaid regulations are directed to the facilities and services at Forest Haven. The movement of residents from Forest Haven to the community is increasing. As more residents make the transition from institutional to community life, vacancies will occur at Forest Haven, thus reducing the occupancy level of residents not ready for community life. Residents could be relocated on the grounds, and the vacated buildings could benefit Forest Haven operations by limiting the scope of maintenance requirements and staffing demands.
Recommendation for Executive Action
Comments: Please call 202/512-6100 for additional information.
Recommendation: The Mayor of the District of Columbia should require that a comprehensive plan be developed which would include a determination of maintenance and capital improvement requirements of Forest Haven facilities and consideration of alternative uses of unneeded facilities. The Mayor should also insure that actions are implemented to: fill key positions with full-time employees; improve procurement support services; analyze staffing requirements to determine the amount of overtime work and alternative methods of hiring part-time employees; resolve proposed staff disciplinary actions in a more timely manner; and improve transportation capabilities to allow residents to fully benefit from vocational and educational experiences.