Nursing homes: some improvement seen in understatement of serious deficiencies, but implications for the longer-term trend are unclear
DIANE Publishing, 2010 - 23 pages
States survey nursing homes annually under contract with the Centers for Medicare & Medicaid Serv. (CMS). To evaluate state surveyors' performance, CMS conducts fed. comparative surveys in which fed. surveyors independently resurvey a home recently inspected by state surveyors and compare and contrast the deficiencies identified during the two surveys. Fed. surveys can find two types of understatement: (1) missed deficiencies; or (2) deficiencies cited at too low a level. This report discusses the problem that a substantial proportion of federal comparative surveys conducted from FY 2002 through 2007 identified missed deficiencies that either had the potential to or did result in harm, death, or serious injury to nursing home residents. Tables.
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2008 comparative surveys 2008 Percentage 25 percent actual harm analysis of federal changed a deficiency CMS’s comparative surveys conducted comparative surveys identifying D through F deficiencies cited deficiencies identified deficiency from 15.3 deficiency on 25 F level federal comparative surveys federal monitoring survey fiscal year 2008 fiscal years Total full state results G-L missed deficiencies GAO analysis harm and immediate Harm or Immediate identifying at least Immediate Jeopardy Levels least one missed level deficiency level remained low a scope lower-level deficiency Medicaid Medicare minimal harm level missed serious deficiency monitoring survey data Number of homes Nursing Homes Oklahoma 293 percentage of comparative percentage of surveys Percentage of total Potential prior fiscal scope and severity severity levels South Carolina 160 South Dakota 108 survey agencies survey sample survey teams cited surveys that identified surveys with G-L surveys with missed total comparative surveys Total number understated G understated scope Understatement of Serious Virginia 268