Washington state did not ensure that selected nursing homes complied with federal requirements for life safety, emergency preparedness, and infection control
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 individuals enrolled in Medicare and Medicaid, 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 develop an infection control program. Our objective was to determine whether Washington State ensured that selected nursing homes in Washington that participated 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 200 nursing homes in Washington State that participated in Medicare or Medicaid, we selected a nonstatistical sample of 20 nursing homes for our audit based on certain risk factors, including multiple high-risk deficiencies that Washington reported to CMS. We conducted unannounced site visits at each of the 20 nursing homes from September through November 2022. During each site visit, we checked for life safety, emergency preparedness, and infection control deficiencies.
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