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All Reports and Publications

Nursing Homes Inappropriately Diagnosed Residents with Schizophrenia to Mask the Misuse of Antipsychotic Drugs

Nursing Homes’ Inappropriate Use of Antipsychotic Drugs Poses a Risk to Residents

Alaska Missed Opportunities to Protect American Indian and Alaska Native Children Missing from Foster Care

ACF Can Improve Services to Homeless Youth by Strengthening Grant Recipients’ Compliance With Transitional Living Program Requirements

New Jersey Did Not Ensure Providers Complied With Federal and State Requirements at All 20 Adult Day Health Services Facilities Audited

South Carolina Did Not Comply With Federal Waiver and State Requirements at 19 of 20 Adult Day Care Facilities

CMS’s Special Focus Facility Program for Nursing Homes Has Not Yielded Lasting Improvements

Many Medicare Advantage and Medicaid Managed Care Plans Have Limited Behavioral Health Provider Networks and Inactive Providers

Serious Falls Resulting in Hospitalization Among Medicare-Enrolled Nursing Home Residents, July 2022–June 2023

Nursing Homes Failed To Report 43 Percent of Falls With Major Injury and Hospitalization Among Their Medicare-Enrolled Residents

The Patient Safety Organization Program: Key Barriers Impeding Nationwide Progress Toward Reducing Patient Harm in Hospitals

Most Health Centers Provide Some Behavioral Health Services to Patients With Substance Use Disorder, Despite Facing Challenges That Limit Comprehensive Treatment

Hospitals Reported Few Captured Patient Harm Events to CMS and States

North Carolina Could Better Ensure That Intermediate Care Facilities for Individuals With Intellectual Disabilities Comply With Federal Requirements for Life Safety and Infection Control

Hospitals Did Not Capture Half of Patient Harm Events, Limiting Information Needed to Make Care Safer

Oklahoma Could Better Ensure That Intermediate Care Facilities for Individuals With Intellectual Disabilities Comply With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control

Availability of Surveyed Behavioral Health Providers to Treat New Patients Enrolled in Medicare and Medicaid

Maine Could Better Ensure That Intermediate Care Facilities for Individuals With Intellectual Disabilities Comply With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control

CMS Use of Staffing Data To Inform State Oversight of Nursing Homes

Maryland Did Not Comply With Federal Waiver and State Requirements at 20 Adult Day Care Facilities Audited

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