Nursing Homes: More Reliable Data and Consistent Guidance Would Improve CMS Oversight of State Complaint Investigations Page: 3 of 58
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Contents
Letter
Background
CMS 2009 Data Show that States Received Over 50,000 Nursing
Home Complaints and Substantiated the Complaint and Cited
Federal Deficiencies in 19 Percent of Investigations
Many State Survey Agencies Had Difficulty Meeting Certain
Performance Standards for Nursing Home Complaint
Investigations, but Reported Taking Steps Intended to Improve
Performance
CMS's Oversight of State Survey Agencies' Complaint Investigation
Processes Is Hampered by Data Reliability Issues, Due in Part to
Inconsistent Interpretation of Performance Standards Among
CMS Reviewers
Conclusions
Recommendations
Agency and Other External CommentsAppendix I CMS's State-Level Data on Complaints
Received, Investigated, and Substantiated
by State Survey Agencies, 2009 40
Appendix II Performance Scores for Selected Nursing
Home Complaint Performance Standards,
Fiscal Year 2009 45
Appendix III Comments from the Department of Health
and Human Services 47
Appendix IV GAO Contact and Staff Acknowledgments 50
Related GAO Products 51GAO-11-280 Nursing Home Complaint Investigations
Page i
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United States. Government Accountability Office. Nursing Homes: More Reliable Data and Consistent Guidance Would Improve CMS Oversight of State Complaint Investigations, report, April 7, 2011; Washington D.C.. (https://digital.library.unt.edu/ark:/67531/metadc299083/m1/3/: accessed April 24, 2024), University of North Texas Libraries, UNT Digital Library, https://digital.library.unt.edu; crediting UNT Libraries Government Documents Department.