GAO Report: Nursing Homes: Federal Monitoring Surveys Demonstrate Continued Understatement of Serious Care Problems and CMS Oversight Weaknesses (5/08)
May 15, 2008
This report examines understatement of serious care problems by state survey agencies, based on federal comparative [look-behind] or observational [accompany onsite] surveys. Understatement is defined a failure to cite a deficiency or citation of a deficiency at too low a level.

OIG Report: Nursing Home Enforcement - Processing Denials of Medicare Payment (5/08)
April 06, 2008
This report determines the extent to which CMS and its Fiscal Intermediaries appropriately process denials of payment for new admissions for SNFs found to be out of compliance with Federal Requirements of Participation.