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

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DIANE Publishing, 2010 - 78 pages
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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, there have been reports on inconsistencies in states' assessment of nursing homes' quality of care, including understatement -- that is, when state surveys fail to cite serious deficiencies or cite them at too low a level. In 2008, there was a report that 9 states had high and 10 had low understatement based on CMS data for FY 2002 through 2007. This report examines the effect on nursing home deficiency understatement of CMS's survey process, workforce shortages and training, supervisory reviews of surveys, and state agency practices. Illus.
 

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