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List of CMS-Certified Hospitals with Recent Substantial Deficient Practice


Hospitals participating in Medicare and Medicaid receive onsite surveys by State Survey Agencies and private Accrediting Organizations to ensure compliance with Federal Regulations. When the survey agency or Accredication Organization finds a hospital not to be in compliance, it cites a deficiency and issues a survey report that summarizes the findings.

This website lists all hospitals who were found to be substantially out of compliance during a State Survey Agency survey in the last six months and provides the survey report for public review.

To locate a hospital, begin by selecting to see a list of hospitals by state or by Accrediting Organization to the left.

Medicare Oversight of Accrediting Organizations


To ensure private Accrediting Organization provide a sufficient level of oversight, Medicare conducts Validation Surveys by conducting a survey of a hospital shortly after an Accrediting Organization completes a survey. In addition Medicare submits an annual Report to Congress on the effectiveness of Accrediting Organizations.
The below table gives a brief overview of how many Validation Surveys were conducted for the last few Federal Fiscal Years and the disparity between the Medicare conducted surveys, and the private Accrediting Organization Surveys.
You can find the latest Report to Congress here


60-Day Validation Survey Results for Each Facility Type Fiscal Years (FYs) 20162018
  FY 2016 FY 2017 FY 2018
Hospital
60-Day Validation Sample Surveys 98 95 107
SA Surveys with Condition-Level Deficiencies 50 47 57
AO Surveys with Missed Comparable Deficiencies 45 43 50
Disparity Rate 46% 45% 47%
Sampling Fraction 0.07 0.07 0.08
Psychiatric Hospital
60-Day Validation Sample Surveys 21 21 21
SA Surveys with Condition-Level Deficiencies 12 14 13
AO Surveys with Missed Comparable Deficiencies 12 12 8
Disparity Rate 57% 57% 38%
Sampling Fraction 0.11 0.11 0.12
Critical Access Hospital
60-Day Validation Sample Surveys 34 32 17
SA Surveys with Condition-Level Deficiencies 16 12 7
AO Surveys with Missed Comparable Deficiencies 15 11 7
Disparity Rate 44% 34% 41%
Sampling Fraction 0.24 0.19 0.08

Last updated on 08/02/2021 with all surveys since 02/01/2021