State nursing home inspectors miss or minimize deficiencies--such as malnutrition, severe bedsores, overuse of medications, and abuse--that pose a serious, immediate threat to patients, according to a report released May 15 by the Government Accountability Office (GAO).
State inspectors visit most nursing homes once annually under contract with the federal government. Federal officials in some cases accompany state inspectors or make subsequent visits to the facilities to check the results of the inspections. According to the report, from 2002 to 2007, federal officials found that state inspectors had missed at least one serious deficiency at nursing homes in 15 percent of the inspections they checked. In nine states, federal officials found that state inspectors had missed at least one serious deficiency in 25 percent of the inspections they checked, said the report. Download the report.