OIG digest: an escalation of nursing home oversight in 2024

Published by OIG Office Inspector General
Our Take: The OIG issued a series of reports and guidance documents throughout 2024 calling on CMS to address nursing home workforce shortfalls, develop a compliance program guide, and target “tunneling” – concealing profits through related-party transactions.  ▼

These developments signal a coordinated federal effort to increase accountability across nursing home operations, ownership structures, and financial reporting.


OIG Guidance Has Nursing Home Corporate Compliance – And ‘Tunneling’ – in its Crosshairs

“The most remarkable departures from previous elements include its embrace of the so-called ‘tunneling’ narrative as a compliance issue and singling out investors as potential targets for compliance failures.”

— Skilled Nursing News, December 3, 2024

OIG Writing Compliance Guidebook to Assist Nursing Home Sector, Hints at Focus Areas

“We have heard from compliance professionals that the practical tips, questions, and scenarios presented in the GCPG are especially useful. The GCPG aims to serve as a tool that compiles many of the applicable rules and guidance in one place, so compliance officials don’t have to spend time hunting for them.”

— McKnight’s Long-Term Care News, April 19, 2024

OIG to CMS: Implement and Expand Policies to Strengthen Nursing Home Workforce, Training Initiatives

“The OIG report says more must be done to strengthen nursing homes as they face difficult and entrenched problems—and we agree. The report makes common sense recommendations for action by the Centers for Medicare and Medicaid Services (CMS).”

— Skilled Nursing News, February 29, 2024

Lessons Learned During the Pandemic Can Help Improve Care in Nursing Homes

“Nursing homes faced monumental and ongoing staffing challenges, including a significant loss of staff and substantial difficulties in hiring, training, and retaining new staff. Many nursing homes used outside staffing agencies to fill gaps, which had significant downsides.”

— Office of Inspector General, U.S. Department of Health and Human Services, February 26, 2024

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