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Series: Audits of Nursing Home Infection Prevention and Control Program Deficiencies

Announced on  | Last Modified on  | Series Number: W-00-24-31545
Status
Completed
Agency
Centers for Medicare and Medicaid Services

OBJECTIVE

The Centers for Disease Control and Prevention has indicated that individuals at high risk for severe illness from coronavirus disease 2019 (COVID-19) are people aged 65 years and older and those who live in a nursing home.Currently, more than 1.3 million residents live in approximately 15,450 Medicare- and Medicaid-certified nursing homes in the United States. As of February 2020, State Survey Agencies have cited more than 6,600 of these nursing homes (nearly 43 percent) for infection prevention and control program deficiencies, including lack of a correction plan in place for these deficiencies. To reduce the likelihood of contracting and spreading COVID-19 at these nursing homes, effective internal controls must be in place. Our objective is to determine whether selected nursing homes have programs for infection prevention and control and emergency preparedness in accordance with Federal requirements.

There are 2 projects in this series.

COMPLETED PROJECTS IN THIS SERIES (2)

Nonprofit and Government-Owned Nursing Homes

Project A-01-24-00002 • Completed on December 2, 2024

Review of Nursing Facility Compliance with Federal Regulations Regarding Infection Prevention

Project A-01-22-00001 • Completed on August 19, 2024

TIMELINE

  • December 8, 2021
    Series Number W-00-24-31545 Assigned
  • December 8, 2021
    Project Announced

    Review of Nursing Facility Compliance with Federal Regulations Regarding Infection Prevention - A-01-22-00001

  • December 13, 2023
    Project Announced

    Nonprofit and Government-Owned Nursing Homes - A-01-24-00002

  • August 19, 2024
    Project Complete - A-01-22-00001

    Review of Nursing Facility Compliance with Federal Regulations Regarding Infection Prevention has been marked as complete. This audit resulted in 2 recommendations.

  • December 2, 2024
    Project Complete - A-01-24-00002

    Nonprofit and Government-Owned Nursing Homes has been marked as complete. This audit resulted in 1 recommendation.

  • December 2, 2024
    Series Complete

    Audits of Nursing Home Infection Prevention and Control Program Deficiencies has been marked as complete.

2 REPORT PUBLISHED

Certain For-Profit Nursing Homes May Not Have Complied With Federal Requirements Regarding the Infection Preventionist Position (A-01-22-00001)

24-A-01-098.01 to CMS - Open Unimplemented
Update expected on 12/18/2025
We recommend that the Centers for Medicare & Medicaid Services instruct the SSAs to follow up with the 24 nursing homes that may not have complied with Federal requirements to verify that they have taken corrective actions.

24-A-01-098.02 to CMS - Open Unimplemented
Update expected on 12/18/2025
We recommend that the Centers for Medicare & Medicaid Services share the results of this audit with the SSAs and encourage them to focus their oversight on verifying that nursing homes designate an IP and that the IPs complete specialized training prior to filling that position.

View in Recommendation Tracker

Nonprofit and Government-Owned Nursing Homes Generally Complied With Federal Requirements Regarding the Infection Preventionist Position (A-01-24-00002)

25-A-01-021.01 to CMS - Closed Implemented
Closed on 03/21/2025
We recommend that the Centers for Medicare & Medicaid Services instruct the SSAs to follow up with the five nursing homes (three nonprofit and two Government-owned) that may not have complied with Federal requirements to verify that they have taken corrective actions.

View in Recommendation Tracker
Work Plan Type
Office of Audit Services
HHS Agencies
Centers for Medicare and Medicaid Services
Issue Areas
COVID-19 Emergency Preparedness and Response Quality of Care
Target Groups
-
Financial Groups
Medicaid