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Topic briefs are a tool we use to keep officials within the U.S. Department of Housing and Urban Development (HUD) informed of challenges so that its leadership can be better prepared to address them. This topic brief expands upon two reports we issued concerning residential care facility inspections. The first was an evaluation of the Office of Residential Care Facilities (ORCF) use of Real Estate Assessment Center (REAC) scores in the inspection process. The second review was conducted by our Joint Civil Fraud Division, which examined HUD’s oversight of physical conditions at residential care facilities. In the second report, we recommended that ORCF reimplement REAC physical condition inspections for the skilled nursing facilities that were exempted from routine physical inspections. HUD and the Office of Inspector General (OIG) are working together to come up with an acceptable resolution to this recommendation. The objective of this topic brief is to provide additional support for HUD conducting physical inspections of care facilities, in support of our earlier recommendation.