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 2008-05-09 monographic deposited born digital 57 p. GA 1.13:GAO-08-517 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-08-517 P0b002ee1803a38b2 f:d08517 DGPO 2010-08-12 2011-03-28 GAOREPORTS-GAO-08-517 machine generated eng fdlp REPORT GAOREPORTS-GAO-08-517 GAO-08-517 Comparative analysis Data collection Data integrity Elder care Health care programs Health surveys Investigations by federal agencies Medical care evaluation Medicare Monitoring Noncompliance Nursing homes Program evaluation Program management Quality of care Standards evaluation State-administered programs Surveys Health and behavioral care standards Reporting requirements Corrective action Policies and procedures Program implementation Surveyors Other Written Product A82081 GAO reports since 1998 have demonstrated that state surveyors, who evaluate the quality of nursing home care on behalf of CMS, sometimes understate the extent of serious care problems in homes because they miss deficiencies. CMS oversees the effectiveness of state surveys through the federal monitoring survey program. In this program, federal surveyors in CMS's regional offices either independently evaluate state surveys by resurveying a home (comparative surveys) or directly observe state surveyors during a routine nursing home survey (observational surveys). GAO was asked to evaluate the information federal monitoring surveys provide on understatement and the effectiveness of CMS management and oversight of the survey program. To do this, GAO analyzed the results of federal monitoring surveys for fiscal years 2002 through 2007, reviewed CMS guidance for the survey program, and interviewed headquarters and regional office officials. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-08-517/html/GAOREPORTS-GAO-08-517.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-08-517/pdf/GAOREPORTS-GAO-08-517.pdf GAO-08-517 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-08-517 Other Written Product GAO-08-517; Nursing Homes: Federal Monitoring Surveys Demonstrate Continued Understatement of Serious Care Problems and CMS Oversight Weaknesses; Comparative analysis Data collection Data integrity Elder care Health care programs Health surveys Investigations by federal agencies Medical care evaluation Medicare Monitoring Noncompliance Nursing homes Program evaluation Program management Quality of care Standards evaluation State-administered programs Surveys Health and behavioral care standards Reporting requirements Corrective action Policies and procedures Program implementation Surveyors