CORPORATE COMPLIANCE REPORT
|
(DATE) |
FOR (QUARTER) |
|---|
TRAINING AND EDUCATION
|
Type |
Completion Target |
Actual |
|---|---|---|
|
New Hire Compliance (Month) |
100% |
REPAYMENTS(Detail is included in the Compliance Report)
|
Resulting From |
Number |
Repayment Amount |
Paid Within 60 Days |
|---|---|---|---|
|
Internal Audit/Monitoring | |||
|
Internal Investigation | |||
|
Government Audit | |||
|
Total |
EXCLUDED PROVIDERS
|
Type |
Number |
Repayment |
|---|---|---|
|
Employees | ||
|
Physicians/Providers | ||
|
Vendors |
EXPIRED LICENSES
|
Expired licenses |
Cost Report Adj. |
|---|---|
STAFFING RATIOS
|
Number out of compliance |
Number receiving citations |
|---|---|
PAYROLL-BASED JOURNAL (PBJ) FOR MOST RECENT AVAILABLE QUARTER
|
PBJ Issue |
Number |
|---|---|
|
Total Nursing Staffing Excessively Low | |
|
Total Nursing Staffing Excessively High | |
|
CNA Staffing Excessively High | |
|
Days No RN Coverage > 7 | |
|
State Staffing Requirement Not Met | |
|
Number of Buildings Dropped to 1-Star |
INVESTIGATIONS BY INTAKE
|
Type |
Number |
|---|---|
|
Hotline | |
|
Direct to Compliance |
CARELINE CALLS AND INVESTIGATIONS BY TYPE
|
Issue |
New ACP |
New |
Open |
Closed |
Unsubstantiated |
Substantiated |
Terminations |
|---|---|---|---|---|---|---|---|
|
Abuse/Neglect | |||||||
|
Anti-kickback | |||||||
|
Code of Ethics/ Policy | |||||||
|
Documentation | |||||||
|
Elder Justice | |||||||
|
False Claims | |||||||
|
Gifts | |||||||
|
HIPAA | |||||||
|
Licensure | |||||||
|
OIG Investigations | |||||||
|
Other | |||||||
|
Resident Rights | |||||||
|
Resident Charges | |||||||
|
Non-Monetary | |||||||
|
OIG/GSA Exclusions | |||||||
|
STARK | |||||||
|
Total |
CARELINE CALLS AND INVESTIGATIONS BY ENTITY
|
Entity |
New ACP |
New |
Open |
Closed |
Unsubstantiated |
Substantiated |
Terminations |
|---|---|---|---|---|---|---|---|
|
Total |