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