Why OIG Did This Audit. In 2016, CMS updated its life safety and emergency preparedness regulations related to health care facilities to improve protections for all Medicare and Medicaid enrollees, including those residing in long-term care facilities (nursing homes). The updates expanded requirements related to sprinkler systems, smoke detector coverage, and emergency preparedness plans. Additionally, facilities were required to implement an infection control program. Our objective was to determine whether New Jersey ensured that selected nursing homes in New Jersey that participate in the Medicare or Medicaid programs complied with Federal requirements for life safety, emergency preparedness, and infection control. How OIG Did This Audit. Of the 356 nursing homes in New Jersey that participated in Medicare and Medicaid, we selected a nonstatistical sample of 20 nursing homes for our audit based on certain risk factors, including multiple high-risk deficiencies New Jersey reported to CMS. We conducted unannounced site visits at the 20 nursing homes from March through May 2022. During the site visits, we checked for life safety, emergency preparedness, and infection control deficiencies based on requirements listed on CMS surveyor checklists.
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