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Gov’t audit insider: Nursing facility staffing requirements

Healthcare Auditing Weekly, November 18, 2003

The OIG performed this audit to determine whether Pioneer Manor Care Center (Pioneer Manor) in Wyoming was in compliance with federal and state staffing laws and regulations for nursing facilities. The OIG selected Pioneer Manor for review based on its analysis of data from the Centers for Medicare and Medicaid Services' Online Survey Certification and Reporting (OSCAR) system.

The OIG performed the following steps:

1. Obtained background, staffing, and deficiency data for Pioneer Manor from the OSCAR database through CMS' Nursing Home Compare Web site.

2. Reviewed federal and Wyoming state laws and regulations for NFs to determine what staffing standards Pioneer Manor was required to adhere to.

3. Obtained staffing schedules, time, and attendance records and payroll records to determine the facility's direct care hours per resident per day.

4. Obtained and analyzed background checks for all direct care employees to assure they adhere to the state requirements.

5. Conducted inquiries through Wyoming's voice verification system and the OIG online exclusion list to determine whether all direct care employees were in god standing and/or license and certified.

6. Reviewed the survey and certification process at the Wyoming State Survey Agency and analyzed the results of the two most recent standard surveys conducted at Pioneer Manor.

7. Obtained an understanding of Pioneer Manor's procedures for recruiting, retaining, and scheduling staff through meetings and discussions with personnel at the facility.

Click here to read the audit report "Audit of Nursing Facility Staffing Requirements at Pioneer Manor Care Center."

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