Deficiency Determination

7. How frequently have you observed the following problems on the nursing home surveys that you have worked on?

Note: If your state is participating in the Quality Indicator Survey (QIS) Demonstration Project please respond based on the traditional survey process.
Check one answer in each row
    Always Frequently Sometimes Infrequently Never Not sure/No opinion
  a. Weaknesses in the current survey methodology result in missed or incorrectly identified deficiencies at the facility.
  b. There are too many new surveyors who are not yet comfortable with their job responsibilities.
   

8. We would like to understand how the survey agency in your state schedules surveys. How frequently have you observed the following characteristics about the allocation of survey teams?
Check one answer in each row
    Always Frequently Sometimes Infrequently Never Not sure/No opinion
  a. The survey teams that you are assigned to generally consist of the same team members from home to home.
  b. The homes that you are assigned to survey vary from year to year.
  c. The survey team is too small to conduct a thorough survey.
  d. The survey team is given sufficient time to conduct a thorough survey.
   

9. When the survey team meets to review findings prior to the exit interview with the facility, how frequently do members of the survey team have difficulty agreeing on an observed deficiency's scope and severity?
(Click one)
1.
2.
3.
4.
5.
6.

10. During the supervisory review of the survey draft, how frequently have you observed the following issues on the nursing home surveys you have worked on?
Check one answer in each row
    Always Frequently Sometimes Infrequently Never Not sure/No opinion
  a. Supervisors remove the deficiency or change the F-tag that was cited.
  b. Supervisors change the scope and severity for which the deficiency was cited.
  c. When supervisors make changes, they explain the reason.
  d. When supervisors explain changes, the reason they give is "documentation was insufficient."
  e. When supervisors explain changes, another reason is given.
   

11. In the surveys that you have worked on, how frequently does the official Form 2567 transmitted by your state's survey agency to a nursing home accurately reflect the care provided by the home?
(Click one)
1.
2.
3.
4.
5.
6.

12. How frequently do facilities with deficiency citations request the informal dispute resolution (IDR) process for health surveys that you work on?
(Click one)
1.
2.
3.
4.
5.
6.

13. When the IDR process takes place, how frequently does it lead to deletion of citations or downgrading of scope and severity?
(Click one)
1.
2.
3.
4.
5.
6.

14. How balanced is the IDR process in your state at considering both nursing home operator concerns and resident welfare when determining whether to change a deficiency citation?
(Click one)
1.
2.
3.
4.

Full Report: GAO-09-799 Table of Contents | Previous | Next