HUD’s Office of Residential Care Facilities Did Not Always Have and Use Financial Information to Adequately Assess and Monitor Nursing Homes
We audited the U.S. Department of Housing and Urban Development’s (HUD) monitoring of the financial performance of Section 232 nursing homes based on the size of their program, the inherent risks in the program, the length of time since our last audit, and the inclusion of this review in the annual audit plan. Our audit objective was to determine whether HUD had sufficient financial information and used this information to adequately…
September 17, 2018
Report
#2018-BO-0001
Management Alert: HUD Did Not Provide Acceptable Oversight of the Physical Condition of Residential Care Facilities
The U.S. Department of Housing and Urban Development (HUD) Office of Inspector General (OIG) reviewed concerns from a complaint within HUD regarding the physical condition of HUD-insured residential care facilities (RCF). This review is part of an ongoing effort of the Office of Inspector General (OIG). At least 10 RCFs had received a score below 31 out of a possible 100 on their most recent Real Estate Assessment Center (…
January 04, 2018
Management alert
#2018-CF-0801
The Office of Residential Care Facilities’ Use of Real Estate Assessment Center Scores
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…
September 15, 2017
Report
#2017-OE-0011
Records Management in the Office of Hospital Facilities Needs Improvement
The Office of Hospital Facilities (OHF) provides mortgage insurance for acute care hospitals. The insurance it provides reduces risk to lenders and lowers borrowing costs for hospitals. As of May 2016, the unpaid principal balance for its 105 insured mortgages was approximately $7 billion.
OHF collects and generates many records to support its mission. These records include application materials, internal reports, and…
September 29, 2016
Report
#2016-OE-0001
HUD Generally Established Controls Over the Section 242 Program but Used an Outdated Handbook, and Its Guidance Had Not Been Cleared Through HUD’s Directives System
The U.S. Department of Housing and Urban Development (HUD), Office of Inspector General reviewed HUD’s Section 242 Mortgage Insurance for Hospitals program to determine whether HUD established controls to approve and administer projects under the Section 242 program and whether HUD used an updated handbook to administer its Section 242 program and used and provided to program participants written guidance that had been approved through HUD’s…
April 10, 2012
Report
#2012-KC-0001
The Office of Healthcare Programs Could Increase Its Controls To More Effectively Monitor the Section 232 Program
We audited the U. S. Department of Housing and Urban Development’s (HUD) Section 232 program as part of the Office of Inspector General’s (OIG) goal of contributing to the improvement of HUD’s execution and accountability of fiscal responsibilities. Our objective was to determine whether HUD had implemented adequate controls to properly monitor Section 232-insured mortgages.
We found that HUD’s Office of Healthcare Programs had taken steps to…
April 26, 2011
Report
#2011-FW-0002