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Intro -- Contents -- Preface -- Chapter 1 -- Examining Federal Efforts to Ensure Quality of Care and Resident Safety in Nursing Homes* -- Opening Statement of Hon. Gregg Harper, A Representative in Congress from the State of Mississippi -- Prepared Statement of Hon. Gregg Harper -- Opening Statement of Hon. Diana Degette, A Representative in Congress from the State of Colorado -- Opening Statement of Hon. Greg Walden, A Representative in Congress from the State of Oregon -- Prepared Statement of Hon. Greg Walden -- Opening Statement of Hon. Frank Pallone, Jr., a Representative in Congress from the State of New Jersey -- Statement of Kate Goodrich -- Quality and Safety Oversight -- Addressing Suspected Abuse and Neglect in Nursing Homes -- National Partnership to Improve Dementia Care in Nursing Homes -- Ensuring Quality of Care by Putting Patients Over Paperwork -- Promoting Transparency, Rewarding Quality, and Encouraging Competition -- Skilled Nursing Facility Quality Reporting Program and Value-Based Purchasing Program -- Nursing Home Compare Five-Star Quality Rating System -- Tracking Nursing Home Staffing Data -- Moving Forward -- Statement of Ruth Ann Dorrill -- Key Takeaways -- Overview of Accountability for Nursing Home Care and Oversight -- OIG Work Addressing harm to Residents in Nursing Homes -- OIG Found that that One in Three SNF Residents Experienced Adverse Events during Their Nursing Home Stays, Including Infections, Pressure Ulcers, and Misuse of Medication -- OIG has Raised Concerns about Failure to Report Allegations or potential Cases of Abuse and Neglect of Nursing Home Residents -- OIG Investigations and Enforcement Cases Illustrate That Nursing Home Harm Can Involve Conduct by Individual Bad Actors, as Well Facility and Chain-Wide Conduct -- Nursing Home Emergency Preparedness.

Despite Enhanced Guidance from CMS, Nursing Homes Hit by Disaster Often Struggle to Execute Emergency Plans and Protect Residents -- State Agency Enforcement -- State Agencies Play a Critical Role in Ensuring the Quality and Safety of Nursing Homes, and OIG has Found Mixed Results in State Agency Attention to Nursing Home Deficiencies -- Next Steps to Improve Nursing Home Quality and Safety -- Sustained Commitment by CMS and Continued Collaboration among HHS, States, Providers, and Residents and Their Families will be Critical to Ensuring Quality and Safety -- To Protect Nursing Home Residents, OIG Will Continue to Assess CMS Oversight and Nursing Home and State Agency Performance, Monitor the Impact of Program Changes, and Use our Enforcement Tools to Address Misconduct -- Call to Action -- Statement of John Dicken -- Nursing Home Quality: Continued Improvements Needed in CMS's Data and Oversight -- Why GAO Did This Study -- What GAO Found -- Background -- Nursing Home Quality Data Show Mixed Results, Although Data Issues Complicate Ability to Assess Quality Trends -- Data on Nursing Home Quality Showed Mixed Results -- Data Issues Complicated CMS's Ability to Assess Quality Trends -- Consumer Complaints -- Deficiencies cited on Standard Surveys -- Nurse Staffing -- Selected Quality Measures -- CMS had Modified Oversight Activities by 2015, but had not Monitored Potential Effect on Nursing Home Quality Oversight -- Witnesses -- Background -- Management Failure at the Rehabilitation Center at Hollywood Hills -- Past Allegations Involving Dr. Michel and Corporate Integrity Agreement -- Dr. Michel Continues to Own Multiple Health Care Related Facilities Participating in Federal Programs -- Emergency Preparedness at SNFs and NFs -- CMS Oversight of National Nursing Homes -- Oversight of Nursing Homes: Surveys, Deficiencies, and Corrective Action Plans.

Delays Reviewing Complaint Allegations -- Correction of Deficiencies Not Always Verified -- Inconsistency of Penalties -- 1150B Authority Delegation -- CMS' Administration of the Special Focus Facility (SFF) Program -- Updated SNF and NF Conditions of Participation -- Issues -- Chapter 2 -- Nursing Homes: Improved Oversight Needed to Better Protect Residents from Abuse* -- Abbreviations -- Why GAO Did This Study -- What GAO Recommends -- What GAO Found -- Background -- Federal Oversight of Nursing Homes -- Reporting and Investigation of Abuse by Nursing Homes -- Other State and Local Agencies that May Investigate Abuse in Nursing Homes -- More Abuse Deficiencies Were Cited in Nursing Homes from 2013 through 2017; Physical and Mental/Verbal Abuse and Staff Perpetrators Were Most Common -- Abuse Deficiencies Cited and the Number of Nursing Homes Involved More than Doubled from 2013 through 2017, with the Largest Increase in Severe Cases -- Physical and Mental/Verbal Abuse Occurred Most Often, Followed by Sexual Abuse, and Staff Were More Often Perpetrators of Abuse in 2016 and 2017 -- Stakeholders Identified Resident Characteristics and Staffing Inadequacies as Risk Factors for Abuse, and Underreporting as among the Challenges to Investigating Abuse -- Some Resident Characteristics and Inadequacies in Staffing, Training, and Staff Screening Can Increase Risk of Abuse -- Resident Characteristics -- Nursing Home Staffing Characteristics -- Underreporting of Abuse, Cognitive Impairment of Victims, Lack of Nursing Home Cooperation, and Lack of Agency Coordination Pose Challenges for Abuse Investigations -- Underreporting of Abuse -- Cognitive Impairment of Victims -- Lack of Cooperation from Some Nursing Homes -- Lack of Agency Coordination -- CMS's Ability to Ensure Nursing Home Residents Are Free from Abuse May Be Limited by Gaps in Oversight.

Information on Abuse and Perpetrator Types Is Not Readily Available -- Facility-Reported Incidents Lack Key Information -- Gaps Exist in CMS Process for State Survey Agency Referrals to Law Enforcement and MFCUs -- Timing of Abuse Referrals -- Tracking of Abuse Referrals -- Definition of Substantiated Abuse -- Information Sharing -- Conclusion -- Recommendations for Executive Action -- Agency Comments -- Appendix I: Additional Detail on Analysis of Centers for Medicare &amp -- Medicaid Services' (CMS) Data -- Appendix II: Trends in Abuse- Related Deficiencies -- Appendix III: State Information on Abuse Deficiencies -- Appendix IV: Comments from the Department of Health and Human Services -- Appendix V: Accessible Data -- Data Tables -- Chapter 3 -- Nursing Homes: Better Oversight Needed to Protect Residents from Abuse( -- Why GAO Did This Study -- What GAO Found -- Improved CMS Oversight Is Needed to Better Protect Residents from Abuse -- Information on Abuse and Perpetrator Types Is Not Readily Available -- Facility-Reported Incidents Lack Key Information -- Gaps Exist in CMS Process for State Survey Agency Referrals to Law Enforcement and MFCUs -- Appendix I: Summary of GAO Reports on the Health and Welfare of the Elderly -- Appendix II: Severity of Abuse Deficiencies Cited in Nursing Homes, 2013 through 2017 -- Appendix III: Examples from a Representative Sample of Nursing Home Abuse Deficiency Narratives, 2016-2017. -- Chapter 4 -- Elder Abuse: Federal Requirements for Oversight in Nursing Homes and Assisted Living Facilities Differ* -- Abbreviations -- Why GAO Did This Study -- What GAO Found -- Background -- Care Provided in Nursing Homes and Assisted Living Facilities -- Long-Term Care Facility Oversight.

Federal Requirements Specify Elder Abuse Reporting, Investigation, and Notification in Nursing Homes and Direct States to Establish Assisted Living Facility Requirements -- Reporting -- Investigation -- Law Enforcement Notification -- Agency Comments -- Appendix I: Summary of Selected States' Requirements for Reporting, Investigating, and Notifying Law Enforcement about Elder Abuse in Assisted Living Facilities -- Appendix II: Summary of Selected Federal and State Audits of Oversight of the Reporting, Investigation, and Notification of Law Enforcement about Elder Abuse in Nursing Homes and Assisted Living Facilities -- Appendix III: Comments from the Department of Health &amp -- Human Services -- Index -- Blank Page.

Nursing homes provide care to about 1.4 million nursing home residents--a vulnerable population of elderly and disabled individuals. CMS, an agency within the Department of Health and Human Services (HHS), defines standards nursing homes must meet to participate in the Medicare and Medicaid programs. This book reviews the abuse of residents in nursing homes.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2021. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.