Reports
Search reports, investigative results, and agency plansShowing 1 - 10 of 84 results
An official website of the United States government
Here’s how you know
In our continuing effort to keep the website updated and engaging, we’re exploring new options for displaying data. As of July 14, 2025, current visualizations on the Dashboards, Agency, State, and Program pages will no longer be available. You can still download all the data.
CMS should implement and expand upon its policies and programs to strengthen the nursing home workforce.
CMS should reassess nurse aide training and certification requirements .
CMS should update the nursing home requirements for infection control to incorporate lessons learned from the pandemic.
CMS should provide effective guidance and assistance to nursing homes on how to comply with updated infection control requirements.
CMS should facilitate sharing of strategies and information to help nursing homes overcome challenges and improve care.
CDC should improve the user support the NHSN Help Desk provides to nursing homes.
CDC should take further steps to ensure the quality of nursing home reporting of COVID-19 data to NHSN.
CDC should consider how quality assurance checks can be enhanced to ensure data accuracy, as appropriate.
HRSA should create a document to record lessons learned from managingPRF and submit the document to HHS leadership.
HRSA should expedite audits of provider use of PRF payments.
We recommend that Kentucky conduct the name-based checks on the one applicant and one adolescent household member identified by our audit as lacking the required checks and reiterate to staff the importance of adhering to the policies and procedures requiring background checks to be completed before approving foster homes.
We recommend that Kentucky conduct FBI fingerprint checks on the five applicants and other household members identified by our audit as lacking completed checks.
We recommend that Kentucky identify ways to address the challenges related to meeting the requirements for conducting monthly caseworker visits, including consulting with ACF.
We recommend that NYC DOHMH refund $15,671,958 to the Federal government.
We recommend that NYC DOHMH strengthen its oversight of subrecipients to prevent future unallowable payments by reviewing subrecipient invoices and supporting documentation to ensure costs claimed are allowable and allocable.
We recommend that the Centers for Disease Control and Prevention create policies and procedures for developing test kits that include roles, responsibilities, and oversight.
We recommend that the Centers for Disease Control and Prevention ensure that the recently finalized GRF addresses the findings we identified in this report.
We recommend that the Centers for Disease Control and Prevention develop and implement documented processes to ensure that adequate staffing and laboratory space can be obtained for future responses and provide for separation of duties and supervisor controls.
We recommend that CDC re-evaluate the IMS structure at all levels of CDC's response framework and integrate positions or roles and responsibilities that provide effective oversight of a response effort, including a laboratory-based response effort.
We recommend CDC implement a CDC-wide laboratory document control system.
We recommend that CDC ensure that all infectious disease laboratories implement and periodically evaluate a QMS.
We recommend that ASPR mitigate the risk presented by relying on foreign supply chains and JIT inventory strategies when determining annual Stockpile purchases.
We recommend that ASPR develop a strategic plan for the Stockpile, that clearly defines the goals and objectives of the Stockpile, and the Stockpile's roles and responsibilities for responding to emergency events, including pandemics.
We recommend that ASPR work to increase the Stockpile's annual funding to keep pace with the Stockpile's increased responsibilities.
We recommend that ASPR reinstate the annual planning and review process and issue to Congress an updated PHEMCE SIP, PHEMCE Multiyear Budget, and Stockpile Annual Review Report.
We recommend that ASPR develop a plan and timeline for fully integrating the Stockpile within ASPR.
We recommend that ASPR develop a response plan, to include communication plans, for situations in which the Stockpile needs to respond to changes in roles and responsibilities during large-scale emergency responses.
We recommend that CMS monitor HHA reporting of the new G-codes to determine whether further updates to regulations or guidance are necessary.