The OIG analysis showed that in that five-year period, 94% of the deficiencies cited on nursing home surveys were in the "less serious" categories, which the OIG defined as F or below on the scope and severity grid. Six percent of deficiencies cited were in the G category or above.

However, the OIG also noted that 31% of nursing homes had at least one repeat deficiency during the review period. Half of these nursing homes had repeat deficiencies that were categorized as "more serious", including deficiencies causing actual harm and immediate jeopardy. 

Technical issues with the new reporting system are showing lower levels of staffing in some nursing homes than is actually the case, misleading the public and resulting in serious consequences for the nursing home, a situation which we are urging CMS to correct.

CMS noted in the Letter that “discharge/eviction” was the most frequent nursing facility complaint category logged by Long-Term Care Ombudsman programs nationally in FY2015. CMS stated that the reasons for non-compliant discharges can vary but often are driven by payment concerns and behavioral/mental/emotional expressions or indications of resident distress.

The first release was the Facility Assessment Toolkit,  which is comprised of an overview, section by section detail, training and resources.  The full toolkit may be found on the LeadingAge website under the Members tab. The Nursing Home resources under RoPs tools have been revamped with an easier guide to review and download.

In addition, we released the following additional final products posted to the Leading Age National site:

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