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 <subject>Extended care facilities</subject>
 <subject>Health care services</subject>
 <subject>Nursing homes</subject>
 <subject>Patient care services</subject>
 <subject>Quality control</subject>
 <subject>Standards evaluation</subject>
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 <title>Nursing Home Quality: Prevalence of Serious Problems, While Declining, Reinforces Importance of Enhanced Oversight</title>
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<abstract>Since July 1998, GAO has reported numerous times on nursing home
quality-of-care issues and identified significant weaknesses in  
federal and state oversight. GAO was asked to assess the extent  
of the progress made in improving the quality of care provided by
nursing homes to vulnerable elderly and disabled individuals,	 
including (1) trends in measured nursing home quality, (2) state 
responses to previously identified weaknesses in their survey,	 
complaint, and enforcement activities, and (3) the status of	 
oversight and quality improvement efforts by the Centers for	 
Medicare &amp; Medicaid Services (CMS).</abstract>
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 <topic>Health care services</topic>
 <topic>Nursing homes</topic>
 <topic>Patient care services</topic>
 <topic>Quality control</topic>
 <topic>Standards evaluation</topic>
 <topic>Surveys</topic>
 <topic>CMS Online Survey Certification and</topic>
 <topic>Reporting System</topic>
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