Publisher description
Original publisher: Washington, D.C. (441 G St., NW, Rm. LM, Washington, 20548) : U.S. General Accounting Office, [1999]. OCLC Number: (OCoLC)44188818 Subject: Nursing home care -- United States -- State supervision. Excerpt: ... B-281759 written feedback to state agencies with respect to state surveyors ' performance so that corrective action can be implemented promptly. HCFA Unlike comparative surveys, observational surveys do not require surveyors to perform an independent review of a nursing home. Instead, HCFA surveyors observe state surveyors as they perform portions of a 16 survey and rate them on one or more of eight possible survey tasks. As a surveyors cannot HCFA result of observing only a portion of the survey, determine whether state surveyors identify all significant deficiencies. officials told us that observational surveys were not designed to HCFA identify all deficiencies. They also said that of the 631 observational surveys completed between October 1998 and August 1999, only 8 ( 1 percent ) identified deficiencies that were more serious than those 17 During our interviews, nine of the regions identified by the state. indicated that observational surveys allow them to help state surveyors identify deficiencies that may otherwise be missed but that the surveys do HCFA not ensure that surveyors identify all serious deficiencies. The Kansas City region agreed with the other regions but also indicated that federal surveyors can identify deficiencies missed by state surveyors if they perform all eight survey tasks, as this region says it does, during an observational survey. During an observational survey, federal surveyors are generally required to observe only two of the eight tasks - the preparation of the statement of 18 As a deficiencies and the resident review and quality-of-life assessments. result, during any given survey, federal surveyors are not required to observe most of the survey tasks that state surveyors perform. Furthermore, som
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Nursing home care: enhanced HCFA oversight of state programs would better ensure quality: report to the Special Committee on Aging, U.S. Senate
Book reviews » Nursing home care: enhanced HCFA oversight of state programs would better ensure quality: report to the Special Committee on Aging, U.S. Senate
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