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<classification authority="sudocs">GA 1.13:GAO-07-241</classification>
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 <subject>Appeals</subject>
 <subject>Health care programs</subject>
 <subject>Health surveys</subject>
 <subject>Medicaid</subject>
 <subject>Medicare</subject>
 <subject>Noncompliance</subject>
 <subject>Nursing homes</subject>
 <subject>Sanctions</subject>
 <subject>Policy evaluation</subject>
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 <title>Nursing Homes: Efforts to Strengthen Federal Enforcement Have Not Deterred Some Homes from Repeatedly Harming Residents</title>
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<abstract>In 1998 and 1999 reports, GAO concluded that enforcement actions,
known as sanctions, were ineffective in encouraging nursing homes
to maintain compliance with federal quality requirements:	 
sanctions were often rescinded before being implemented because  
homes had a grace period to correct deficiencies. In response,	 
the Centers for Medicare &amp; Medicaid Services (CMS) began	 
requiring immediate sanctions for homes that repeatedly harmed	 
residents. Using CMS enforcement and deficiency data, GAO (1)	 
analyzed federal sanctions from fiscal years 2000 through 2005	 
against 63 homes previously reviewed and (2) assessed CMS&apos;s	 
overall management of enforcement. The 63 homes had a history of 
harming residents and were located in 4 states that account for  
about 22 percent of homes nationwide.</abstract>
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 <topic>Appeals</topic>
 <topic>Health care programs</topic>
 <topic>Health surveys</topic>
 <topic>Medicaid</topic>
 <topic>Medicare</topic>
 <topic>Noncompliance</topic>
 <topic>Nursing homes</topic>
 <topic>Sanctions</topic>
 <topic>Policy evaluation</topic>
 <topic>Policies and procedures</topic>
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  <title>United States Statutes at Large</title>
  <partNumber>Volume 91 Page 499</partNumber>
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 <identifier type="Statute citation">91 Stat. 499</identifier>
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  <title>United States Statutes at Large</title>
  <partNumber>Volume 101 Page 1330-160</partNumber>
  <partNumber>Volume 101 Page 1330-179</partNumber>
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 <identifier type="Statute citation">101 Stat. 1330-160</identifier>
 <identifier type="Statute citation">101 Stat. 1330-179</identifier>
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  <title>United States Public Law 87 (95th Congress)</title>
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