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Department of Health and Human Services

Office of Inspector General -- AUDIT

"Review of Nursing Facility Staffing Requirements at Woodland Center for Nursing," (A-03-03-00217)

February 25, 2004

Complete Text of Report is available in PDF format (420 kb). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.


The objective of this review was to determine whether Woodland Center was in compliance with Federal and State staffing laws and regulations for nursing homes.   Based on our review of 75 direct care employees, Woodland Center complied with Federal staffing laws and regulations, but did not comply with State staffing requirements.  Woodland Center did not comply with State background check requirements for 13 direct care employees and did not meet the State required staffing levels for approximately 17 percent of the workdays reviewed.  We recommended that Woodland Center review and strengthen its internal controls to assure that it: (1) prohibits direct care employees from working directly with residents if background checks are not received within the required timeframes, and (2) schedules direct care employees to ensure that each day there is a registered nurse on duty for 24 hours and enough nursing staff on duty to provide 2.7 hours of direct care per resident per day.