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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
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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 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 |
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 |
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 03/06/2024 with all surveys since 09/01/2023 |
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