91 Matching Results

Search Results

Results: 1 - 24 next
open access

Nursing Homes: Complexity of Private Investment Purchases Demonstrates Need for CMS to Improve the Usability and Completeness of Ownership Data

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Since 2007, attention has been focused on nursing home ownership by private investment (PI) firms. Nursing home providers are required to disclose parties with an ownership or control interest in order to participate in Medicare or Medicaid. CMS, the HHS agency responsible for managing these two programs, maintains ownership and chain data in its Provider Enrollment, Chain, and Ownership System (PECOS).… more
Date: September 30, 2010
Creator: United States. Government Accountability Office.
Item Type: Refine your search to only Report
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Federal Actions Needed to Improve Targeting and Evaluation of Assistance by Quality Improvement Organizations

Description: A letter report issued by the Government Accountability Office with an abstract that begins "In 2002, CMS contracted with Quality Improvement Organizations (QIO) to help nursing homes address quality problems such as pressure ulcers, a deficiency frequently identified during routine inspections conducted by state survey agencies. CMS awarded $117 million over a 3-year period to the QIOs to assist all homes and to work intensively with a subset of homes in each state. Homes' participation was vo… more
Date: May 29, 2007
Creator: United States. Government Accountability Office.
Item Type: Refine your search to only Report
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: CMS Needs Milestones and Timelines to Ensure Goals for the Five-Star Quality Rating System Are Met

Description: A letter report issued by the Government Accountability Office with an abstract that begins "CMS developed and implemented the Five-Star System largely during an 8-month period in 2008 with input from long-term care stakeholders, CMS’s Five-Star System contractor, and members of a technical expert panel—a panel composed of nine individuals that CMS identified as experts in long-term care research. CMS made numerous methodological decisions during the development of the Five-Star System, includi… more
Date: March 23, 2012
Creator: United States. Government Accountability Office.
Item Type: Refine your search to only Report
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Public Reporting of Quality Indicators Has Merit, but National Implementation Is Premature

Description: A letter report issued by the General Accounting Office with an abstract that begins "GAO was asked to review the Centers for Medicare & Medicaid Services (CMS) initiative to publicly report additional information on its "Nursing Home Compare" Web site intended to help consumers choose a nursing home. GAO examined CMS's development of the new nursing home quality indicators and efforts to verify the underlying data used to calculate them. GAO also reviewed the assistance CMS offered the public … more
Date: October 31, 2002
Creator: United States. General Accounting Office.
Item Type: Refine your search to only Report
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Opportunities Exist to Facilitate the Use of the Temporary Management Sanction

Description: Correspondence issued by the Government Accountability Office with an abstract that begins "The nation's 1.4 million nursing home residents are a highly vulnerable population of elderly and disabled individuals for whom remaining at home is no longer feasible. The federal government plays a key role in ensuring that nursing home residents receive appropriate care by setting quality requirements that nursing homes must meet to participate in the Medicare and Medicaid programs and by contracting … more
Date: November 20, 2009
Creator: United States. Government Accountability Office.
Item Type: Refine your search to only Text
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Efforts to Strengthen Federal Enforcement Have Not Deterred Some Homes from Repeatedly Harming Residents

Description: A letter report issued by the Government Accountability Office with an abstract that begins "In 1998 and 1999 reports, GAO concluded that enforcement actions, known as sanctions, were ineffective in encouraging nursing homes to maintain compliance with federal quality requirements: sanctions were often rescinded before being implemented because homes had a grace period to correct deficiencies. In response, the Centers for Medicare & Medicaid Services (CMS) began requiring immediate sanctions fo… more
Date: March 26, 2007
Creator: United States. Government Accountability Office.
Item Type: Refine your search to only Report
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: CMS's Special Focus Facility Methodology Should Better Target the Most Poorly Performing Homes, Which Tended to Be Chain Affiliated and For-Profit

Description: A letter report issued by the Government Accountability Office with an abstract that begins "In 1998, CMS established the Special Focus Facility (SFF) Program as one way to address poor performance by nursing homes. The SFF methodology assigns points to deficiencies cited on standard surveys and complaint investigations, and to revisits conducted to ensure that deficiencies have been corrected. CMS uses its methodology periodically to identify candidates for the program--nursing homes with the … more
Date: August 28, 2009
Creator: United States. Government Accountability Office.
Item Type: Refine your search to only Report
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Quality of Care More Related to Staffing than Spending

Description: Correspondence issued by the General Accounting Office with an abstract that begins "Costs for nursing home care have almost doubled since 1990, from $53 billion to $92 billion in 2000. Much of that spending has been financed with public monies. Under the Medicare and Medicaid programs, the federal government financed 39 percent of the nation's nursing home spending in 2000, up from 28 percent in 1990. As federal outlays have grown, Congress has focused attention on the quality of care delivere… more
Date: June 13, 2002
Creator: United States. General Accounting Office.
Item Type: Refine your search to only Text
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: More Reliable Data and Consistent Guidance Would Improve CMS Oversight of State Complaint Investigations

Description: A letter report issued by the Government Accountability Office with an abstract that begins "CMS, the agency within HHS that manages Medicare and Medicaid, contracts with state survey agencies to investigate complaints about nursing homes from residents, family members, and others. CMS helps assure the adequacy of state complaint processes by issuing guidance, monitoring data that state survey agencies enter into CMS's database, and annually assessing performance against specific standards. Con… more
Date: April 7, 2011
Creator: United States. Government Accountability Office.
Item Type: Refine your search to only Report
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Federal Monitoring Surveys Demonstrate Continued Understatement of Serious Care Problems and CMS Oversight Weaknesses

Description: A letter report issued by the Government Accountability Office with an abstract that begins "GAO reports since 1998 have demonstrated that state surveyors, who evaluate the quality of nursing home care on behalf of CMS, sometimes understate the extent of serious care problems in homes because they miss deficiencies. CMS oversees the effectiveness of state surveys through the federal monitoring survey program. In this program, federal surveyors in CMS's regional offices either independently eval… more
Date: May 9, 2008
Creator: United States. Government Accountability Office.
Item Type: Refine your search to only Report
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Despite Increased Oversight, Challenges Remain in Ensuring High-Quality Care and Resident Safety

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Since 1998, GAO has issued numerous reports on nursing home quality and safety that identified significant weaknesses in federal and state oversight. Under contract with the Centers for Medicare & Medicaid Services (CMS), states conduct annual nursing home inspections, known as surveys, to assess compliance with federal quality and safety requirements. States also investigate complaints filed by family … more
Date: December 28, 2005
Creator: United States. Government Accountability Office.
Item Type: Refine your search to only Report
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Some Improvement Seen in Understatement of Serious Deficiencies, but Implications for the Longer-Term Trend Are Unclear

Description: Correspondence issued by the Government Accountability Office with an abstract that begins "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. To eva… more
Date: April 28, 2010
Creator: United States. Government Accountability Office.
Item Type: Refine your search to only Text
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Addressing the Factors Underlying Understatement of Serious Care Problems Requires Sustained CMS and State Commitment

Description: A letter report issued by the Government Accountability Office with an abstract that begins "Under contract with the Centers for Medicare and Medicaid Services (CMS), states conduct surveys at nursing homes to help ensure compliance with federal quality standards. Over the past decade, the Government Accountability Office (GAO) has reported on inconsistencies in states' assessment of nursing homes' quality of care, including understatement--that is, when state surveys fail to cite serious defic… more
Date: November 24, 2009
Creator: United States. Government Accountability Office.
Item Type: Refine your search to only Report
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Proposal To Enhance Oversight of Poorly Performing Homes Has Merit

Description: A letter report issued by the General Accounting Office with an abstract that begins "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)."
Date: June 30, 1999
Creator: United States. General Accounting Office.
Item Type: Refine your search to only Report
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Complaint Investigation Processes Often Inadequate to Protect Residents

Description: A letter report issued by the General Accounting Office with an abstract that begins "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 Administrati… more
Date: March 22, 1999
Creator: United States. General Accounting Office.
Item Type: Refine your search to only Report
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Sustained Efforts Are Essential to Realize Potential of the Quality Initiatives

Description: A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on federal and state initiatives to improve the quality of nursing homes, focusing on: (1) progress in improving the detection of quality problems and changes in measured nursing home quality; (2) the status of efforts to strengthen states' complaint investigation processes and federal enforcement policies; and (3) additional steps taken at the fede… more
Date: September 28, 2000
Creator: United States. General Accounting Office.
Item Type: Refine your search to only Report
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Complaint Investigation Processes in Maryland

Description: Testimony issued by the General Accounting Office with an abstract that begins "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."
Date: June 15, 1999
Creator: United States. General Accounting Office.
Item Type: Refine your search to only Text
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Prevalence of Serious Quality Problems Remains Unacceptably High, Despite Some Decline

Description: Testimony issued by the General Accounting Office with an abstract that begins "Since 1998, the Congress and Administration have focused considerable attention on improving the quality of care in the nation's nursing homes, which provide care for about 1.7 million elderly and disabled residents in about 17,000 homes. GAO has earlier reported on serious weaknesses in processes for conducting routine state inspections (surveys) of nursing homes and complaint investigations, ensuring that homes wi… more
Date: July 17, 2003
Creator: United States. General Accounting Office.
Item Type: Refine your search to only Text
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Federal Efforts to Monitor Resident Assessment Data Should Complement State Activities

Description: A letter report issued by the General Accounting Office with an abstract that begins "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 quality of care … more
Date: February 15, 2002
Creator: United States. General Accounting Office.
Item Type: Refine your search to only Report
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Many Shortcomings Exist in Efforts to Protect Residents from Abuse

Description: Testimony issued by the General Accounting Office with an abstract that begins "Often suffering from multiple physical and mental impairments, the 1.5 million elderly and disabled Americans living in nursing homes are a highly vulnerable population. These individuals typically require extensive help with daily living, such as such as dressing, feeding, and bathing. Many require skilled nursing or rehabilitative care. In recent years, reports of inadequate care, including malnutrition, dehydrati… more
Date: March 4, 2002
Creator: United States. General Accounting Office.
Item Type: Refine your search to only Text
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Success of Quality Initiatives Requires Sustained Federal and State Commitment

Description: Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the quality of care in nursing homes, focusing on: (1) progress in improving the detection of quality problems during annual surveys; (2) how the prevalence of identified problems has changed; (3) the status of efforts to strengthen states' complaint investigation processes and federal enforcement policies; and (4) additional activities occurring at the federal leve… more
Date: September 28, 2000
Creator: United States. General Accounting Office.
Item Type: Refine your search to only Text
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: Aggregate Medicare Payments Are Adequate Despite Bankruptcies

Description: Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the causes of the bankruptcies of large corporations owning nursing homes and the implications for nursing home residents, focusing on: (1) the adequacy of Medicare's payment rates for skilled nursing services furnished in nursing homes; (2) the relationship between the changes wrought by the Balanced Budget Act and recent nursing home bankruptcies; and (3) what exi… more
Date: September 5, 2000
Creator: United States. General Accounting Office.
Item Type: Refine your search to only Text
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: HCFA Initiatives to Improve Care Are Under Way but Will Require Continued Commitment

Description: Testimony issued by the General Accounting Office with an abstract that begins "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."
Date: June 30, 1999
Creator: United States. General Accounting Office.
Item Type: Refine your search to only Text
Partner: UNT Libraries Government Documents Department
open access

Nursing Homes: HCFA Should Strengthen Its Oversight of State Agencies to Better Ensure Quality Care

Description: Testimony issued by the General Accounting Office with an abstract that begins "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."
Date: November 4, 1999
Creator: United States. General Accounting Office.
Item Type: Refine your search to only Text
Partner: UNT Libraries Government Documents Department
Back to Top of Screen