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 Adjustment |
---|---|
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 | |
Certified Nurse Assistant Staffing Excessively High | |
Days No Registered Nurse 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 | |||||||
Office of Inspector General (OIG) Investigations | |||||||
Other | |||||||
Resident Rights | |||||||
Resident Charges | |||||||
Non-Monetary | |||||||
OIG/ General Services Administration Exclusions | |||||||
Stark | |||||||
Total |
Careline Calls and Investigations by Entity
Entity |
New ACP |
New |
Open |
Closed |
Unsubstantiated |
Substantiated |
Terminations |
---|---|---|---|---|---|---|---|
Total |