OIG Data Brief – Timely Investigation of the Most Serious NH Complaints

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

The Office of Inspector General (OIG) released a data brief last month that identified these key takeaways:

“While the number of nursing home residents decreased slightly between 2011 and 2015, the number of nursing home complaints States received increased 33 percent, from 47,279 to 62,790. Over this 5-year period, the number of complaints that States received per 1,000 nursing home residents increased from 32.7 to 44.9 complaints per year.  As was the case with immediate jeopardy complaints, some States accounted for a higher number of late onsite investigations of high priority complaints than did others. Across all 5 years, Arizona, Maryland, New York, and Tennessee accounted for almost half of the high priority complaints not investigated onsite within 10 working days.”

This report updates the “2006 report and offers the Centers for Medicare & Medicaid Services (CMS) some insights into the States that have room to improve in prioritizing and responding to nursing home complaints.”

The 31-page brief is found here.  It is well worth the read, including the twelve (12) exhibits found throughout the brief.

©2009 Briggs Healthcare