| 34. How frequently do the following issues contribute to understatement in this state survey agency? |
| Always (percent) |
Frequently (percent) |
Sometimes (percent) |
Infrequently (percent) |
Never (percent) |
Not sure/no opinion (percent) |
Non response (percent) |
Number of respondents |
|
|---|---|---|---|---|---|---|---|---|
| a. Weaknesses in the current survey methodology | 0.0 | 6.0 | 30.0 | 40.0 | 18.0 | 6.0 | 0.0 | 50 |
| b. Inadequate number of staff to complete thorough surveys | 0.0 | 6.0 | 36.0 | 30.0 | 28.0 | 0.0 | 0.0 | 50 |
| c. Inadequate time to complete thorough surveys | 0.0 | 8.0 | 38.0 | 22.0 | 32.0 | 0.0 | 0.0 | 50 |
| d. Inadequate draft survey review process | 0.0 | 2.0 | 20.0 | 40.0 | 34.0 | 4.0 | 0.0 | 50 |
| e. Reluctance to cite serious deficiencies because of workload burden (e.g., revisits, paperwork) | 0.0 | 0.0 | 10.0 | 36.0 | 50.0 | 2.0 | 2.0 | 50 |
| f. Inexperienced surveyors are not yet comfortable with their job responsibilities | 0.0 | 16.0 | 48.0 | 26.0 | 8.0 | 2.0 | 0.0 | 50 |
| g. Inadequate initial surveyor training | 0.0 | 4.0 | 14.0 | 52.0 | 30.0 | 0.0 | 0.0 | 50 |
| h. Insufficient (or lack of) ongoing surveyor training | 0.0 | 10.0 | 14.0 | 48.0 | 28.0 | 0.0 | 0.0 | 50 |
| i. Fully trained staff members remain unsuited for surveyor role | 0.0 | 0.0 | 20.0 | 62.0 | 18.0 | 0.0 | 0.0 | 50 |
| j. Confusion about CMS's definition of citations at the actual harm level and above | 2.0 | 2.0 | 40.0 | 46.0 | 8.0 | 2.0 | 0.0 | 50 |
| k. Survey predictability or other advance notice of inspection | 0.0 | 2.0 | 16.0 | 50.0 | 32.0 | 0.0 | 0.0 | 50 |
| l. Frequent informal dispute resolution (IDR) hearings | 0.0 | 0.0 | 6.0 | 42.0 | 52.0 | 0.0 | 0.0 | 50 |
| m. Pressure either during or after the survey from the nursing home | 0.0 | 0.0 | 6.0 | 30.0 | 58.0 | 6.0 | 0.0 | 50 |
| n. Pressure either during or after the survey from the nursing home industry | 0.0 | 2.0 | 4.0 | 22.0 | 68.0 | 4.0 | 0.0 | 50 |
| o. Pressure from state or federal legislators | 0.0 | 2.0 | 2.0 | 24.0 | 70.0 | 2.0 | 0.0 | 50 |
| p. Other | 0.0 | 2.0 | 2.0 | 2.0 | 6.0 | 16.0 | 72.0 | 50 |