CHA News Article

OIG Issues Report on California Nursing Home Survey

The Department of Health and Human Services Office of Inspector General (OIG) has issued the attached report on the oversight of quality of care in California nursing homes. The report also addresses whether health care providers, including nursing homes, met federal and state requirements for employee qualifications and health examinations. Titled CMS’s Reliance on California’s Licensing Surveys of Nursing Homes Could Not Ensure the Quality of Care Provided to Medicare and Medicaid Beneficiaries, the study found that health examinations were not conducted for an estimated 30 percent of employees statewide. Additionally, seven of the eight sampled nursing homes did not obtain state agency approval for optional service units but provided services in those units.

To ensure quality of care and adequate protection for Medicare and Medicaid beneficiaries in nursing homes, OIG recommends that the Centers for Medicare & Medicaid Services work with the state agency to ensure that:

  • Nursing homes implement policies and procedures for employee health examinations and request approval for optional service units;
  • The state agency conducts all required licensing surveys and reviews of employee health examination records; and
  • The state agency improves licensing survey procedures for reviewing employee health examination records and determines whether optional service units operated by nursing homes are approved with all optional services listed on licenses.