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We audited the Federal Housing Administration-insured nursing home, Middlesex Health Care Center in Middletown, CT, because we identified profitability and solvency issues during ongoing work with the Section 232 program. Additionally, the U.S.
Very low REAC scores are not prevalent across ORCF’s portfolio. The majority of RCFs that received a REAC score scored at least 80 on their last inspection, and more than three quarters scored at least 60. Despite the small percentage of RCFs that scored below 31, we noticed an overall decline in REAC inspection scores across ORCF’s portfolio from 2000 to 2016. REAC has adopted an inspection process that applies uniformly to all property types across HUD, including multifamily buildings, public housing buildings, and RCFs. This approach presents challenges whe
Sons of Divine Providence did not properly oversee the HUD-insured nursing home to ensure that it operated in accordance with its regulatory agreement. By not informing HUD of the lawsuits, the changes in management agents, and the loans, Sons of Divine Providence did not provide HUD the necessary data to understand the risk to the HUD insurance fund. However, when Sons of Divine Providence sold the nursing home and paid off the HUD-insured mortgage, it also terminated this regulatory agreement.
We audited Folts, Inc.’s management of the Folts Adult Home and Folts Home projects to address our concern with U.S.
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.
We audited the U.S.
We audited Health Concepts Ltd., a management agent that administers six Federal Housing Administration (FHA)-insured nursing homes. We conducted this audit based on our review of the Pine Grove Health Center. The review found that Pine Grove’s owners paid salaries for onsite staff that were covered under the management agreement and charged for services that should have been included in the management fee. Our objectives for this audit were to determine whether the management agent, Health Concepts, had the other five nursing homes’ owners pay salaries for on
