March 2023 Addition to OIG Work Plan: State Survey Agency Processes for Overseeing Nursing Home Preparedness

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

Historically, nursing homes have experienced challenges preparing for and responding to emergencies. To address these challenges, HHS has taken steps to bolster nursing home emergency preparedness and response through regulations such as CMS’s Conditions of Participation (CoPs). However, prior OIG reviews and continued challenges during recent emergencies have highlighted gaps, including gaps related to State Survey Agency (SA) reviews of nursing home adherence to the CoPs. This evaluation will determine: (1) what processes SAs use to oversee nursing home emergency preparedness; (2) what promising practices, challenges, and/or limitations exist within those processes; and (3) how CMS or other HHS agencies can best support SAs.

This recent addition can also be viewed here.  Note that the expected information from this OIG evaluation is expected in FY2024.