March 15, 2010
Poorly Performing Nursing Homes: Special Focus Facilities Are Often Improving, but CMS's Program Could Be Strengthened
The United States Government Accountability Office (GAO) reviewed the Centers
for Medicare and Medicaid Services (CMS) Special Focus Facility (SFF) Program
for poorly performing nursing homes. The GAO recommended that CMS strengthen
the SFF program, by notifying homes that are on the SFF candidate list; seeking
legislative authority to charge SFFs for the costs of conducting additional surveys; and clarifying SSF
programming guidelines regarding appropriate sanctions and
monitoring these sanctions more closely.
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