United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 2004-11-12 monographic deposited born digital 74 p. GA 1.13:GAO-05-78 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-05-78 P0b002ee180390f58 f:d0578 DGPO 2010-08-12 2011-03-24 GAOREPORTS-GAO-05-78 machine generated eng fdlp REPORT GAOREPORTS-GAO-05-78 GAO-05-78 Elder care Elderly persons Long-term care Medical records Nursing homes Reporting requirements Surveys Investigations by federal agencies Federal/state relations Quality-of-care Arkansas Other Written Product A13455 GAO was asked to assess the effectiveness of nursing home oversight by considering the effect of a unique Arkansas law that requires county coroners to investigate all nursing home deaths. Coroners refer cases of suspected neglect to the state survey agency and law enforcement entities such as the state Medicaid Fraud Control Unit (MFCU). The Centers for Medicare & Medicaid Services (CMS) contracts with survey agencies in every state to periodically inspect nursing homes and investigate allegations of poor care or neglect. MFCUs are charged with investigating and prosecuting resident neglect. GAO examined (1) the results of Arkansas coroner investigations, (2) the state survey agency's experience in investigating coroner referrals, and (3) whether weaknesses in state and federal nursing home oversight identified in prior GAO reports were evident in the survey agency's investigation of coroner referrals. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-05-78/html/GAOREPORTS-GAO-05-78.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-05-78/pdf/GAOREPORTS-GAO-05-78.pdf GAO-05-78 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-05-78 Other Written Product GAO-05-78; Nursing Home Deaths: Arkansas Coroner Referrals Confirm Weaknesses in State and Federal Oversight of Quality of Care; Elder care Elderly persons Long-term care Medical records Nursing homes Reporting requirements Surveys Investigations by federal agencies Federal/state relations Quality-of-care Arkansas Volume 91 Page 1175 91 Stat. 1175 Public Law 95-142