State & Local Reports

The Office of Inspector General’s (OIG) Public Safety section has completed an analysis of scheduling information for Chicago Police Department (CPD) members between April 1, 2022, and May 31, 2022, including the cancellation of sworn CPD members’ regular days off. OIG concluded that cohorts of CPD members were scheduled to work 11 or more consecutive days during that time period, that some but not all members worked all consecutive days for which they were scheduled, and that the multiple systems in which CPD stores relevant data and the need to manually review certain records impede ready analysis of work schedules and periods of rest.Despite challenges in reviewing and comparing CPD’s records, OIG determined that many CPD members were scheduled to work 11 or more consecutive days between April and May 2022. OIG also found, by reviewing actual attendance of a sample of members, that although some members did not actually work as many consecutive days as they were scheduled for, others did in fact work 11 or more consecutive days during the period of analysis.

What Was Performed? An examination of the Gilpin Hall Nursing Home’s fiscal records of the Delaware Department of Health and Social Services, Division of Medicaid and Medical Assistance, Medicaid Long-Term Care Facilities’ Statement of Reimbursement Costs for Skilled and Intermediate Care Nursing Facilities – Title XIX and Nursing Wage Survey (cost report and nursing wage survey, respectively) for fiscal year ended June 30, 2018. WhyThis Engagement? This engagement was conducted in accordance with federal requirements (42 CFR 447.253 and 483 Subpart B) and state requirements (Title XIX Delaware Medicaid State Plan, Attachment 4.19D) (criteria), as applicable to the Gilpin Hall Nursing Home’s fiscal records. The criteria were used to prepare the Schedule of Adjustments to the Trial Balance, Patient Days, and Nursing Wage Survey for fiscal year ended June 30, 2018 found in the report. The State ofDelaware is required to ensure thatthe fiscal records atthe nursing care facilities are retained and properly supportthe cost report, or the financial report showing the cost and charges related to Medicaid activities, submitted to the Medicaid Agency. These costs must be compliantwith federal and state regulations.Under the Delaware Medicaid State Plan, the state is required to examine a sample of facilities located within the state to ensure the facilities’ cost reports and nursing wage surveys are compliant with federal and state requirements. What Was Found? It is my pleasure to report that there were no findings identified and the Gilpin Hall Nursing Home Long-Term Healthcare Facility complied, in all material respects, with the criteria mentioned above. The Gilpin Hall Nursing Home Long-Term Healthcare Facility Examination for Fiscal Year ended June 30, 2018, can be found on our website: click here.For any questions regarding the attached report, please contact State Auditor Kathleen K. McGuiness at Kathleen.Mcguiness@delaware.gov

What Was Performed? An examination of the Jeanne Jugan Residence’s fiscal records of the Delaware Department of Health and Social Services, Division of Medicaid and Medical Assistance, Medicaid Long-Term Care Facilities’ Statement of Reimbursement Costs for Skilled and Intermediate Care Nursing Facilities – Title XIX and Nursing Wage Survey (cost report and nursing wage survey, respectively) for fiscal year ended June 30, 2018. WhyThis Engagement? This engagement was conducted in accordance with federal requirements (42 CFR 447.253 and 483 Subpart B) and state requirements (Title XIX Delaware Medicaid State Plan, Attachment 4.19D) (criteria), as applicable to the Jeanne Jugan Residence’s fiscal records. The criteria were used to prepare the Schedule of Adjustments to the Trial Balance, Patient Days, and Nursing Wage Survey for fiscal year ended June 30, 2018 found in the report. The State of Delaware is required to ensure thatthe fiscal records atthe nursing care facilities are retained and properly supportthe cost report, or the financial report showing the cost and charges related to Medicaid activities, submitted to the Medicaid Agency. These costs must be compliantwith federal and state regulations.Under the Delaware Medicaid State Plan, the state is required to examine a sample of facilities located within the state to ensure the facilities’ cost reports and nursing wage surveys are compliant with federal and state requirements. What Was Found? It is my pleasure to report that there were no findings identified and the Jeanne Jugan Residence Long-Term Healthcare Facility complied, in all material respects, with the criteria mentioned above. The Jeanne Jugan Residence Long-Term Healthcare Facility Examination for Fiscal Year ended June 30, 2018, can be found on our website: click here.For any questions regarding the attached report, please contact State Auditor Kathleen K. McGuiness at Kathleen.Mcguiness@delaware.gov

What Was Performed? An examination of the Kutz Rehabilitation and Nursing’s fiscal records of the Delaware Department of Health and Social Services, Division of Medicaid and Medical Assistance, Medicaid Long-Term Care Facilities’ Statement of Reimbursement Costs for Skilled and Intermediate Care Nursing Facilities – Title XIX and Nursing Wage Survey (cost report and nursing wage survey, respectively) for fiscal year ended June 30, 2018. WhyThis Engagement? This engagement was conducted in accordance with federal requirements (42 CFR 447.253 and 483 Subpart B) and state requirements (Title XIX Delaware Medicaid State Plan, Attachment 4.19D) (criteria), as applicable to the Kutz Rehabilitation and Nursing’s fiscal records. The criteria were used to prepare the Schedule of Adjustments to the Trial Balance, Patient Days, and Nursing Wage Survey for fiscal year ended June 30, 2018 found in the report. The State ofDelaware is required to ensure thatthe fiscal records atthe nursing care facilities are retained and properly supportthe cost report, or the financial report showing the cost and charges related to Medicaid activities, submitted to the Medicaid Agency. These costs must be compliantwith federal and state regulations.Under the Delaware Medicaid State Plan, the state is required to examine a sample of facilities located within the state to ensure the facilities’ cost reports and nursing wage surveys are compliant with federal and state requirements.What Was Found? It is my pleasure to report that there were no findings identified and the Kutz Rehabilitation and Nursing Long-Term Healthcare Facility complied, in all material respects, with the criteria mentioned above. The Kutz Rehabilitation and Nursing Long-Term Healthcare Facility Examination for Fiscal Year ended June 30, 2018, can be found on our website: click here.For any questions regarding the attached report, please contact State Auditor Kathleen K. McGuiness at Kathleen.Mcguiness@delaware.gov.

What Was Performed? An examination of the Delaware Hospital for the Chronically Ill’s fiscal records of the Delaware Department of Health and Social Services, Division of Medicaid and Medical Assistance, Medicaid Long-Term Care Facilities’ Statement of Reimbursement Costs for Skilled and Intermediate Care Nursing Facilities – Title XIX and Nursing Wage Survey (cost report and nursing wage survey, respectively) for fiscal year ended June 30, 2018. Why This Engagement? The State Auditor is authorized under 29 Del. C., §2906 to conduct post-audits of all financial transactions of all state agencies. This engagement was conducted in accordance with federal requirements (42 CFR 447.253 and 483 Subpart B) and state requirements (Title XIX Delaware Medicaid State Plan, Attachment 4.19D) (criteria), as applicable to the Delaware Hospital for the Chronically Ill’s fiscal records. The criteria were used to prepare the Schedule of Adjustments to the Trial Balance, Patient Days, and Nursing Wage Survey for fiscal year ended June 30, 2018 found in the report. The State of Delaware is required to ensure that the fiscal records at the nursing care facilities are retained and properly support the cost report, or the financial report showing the cost and charges related to Medicaid activities, submitted to the Medicaid Agency. These costs must be compliantwith federal and state regulations.Under the Delaware Medicaid State Plan, the state is required to examine a sample of facilities located within the state to ensure the facilities’ cost reports and nursing wage surveys are compliant with federal and state requirements.What Was Found? It is my pleasure to report that there were no findings identified and the Delaware Hospital for the Chronically Ill Long-Term Healthcare Facility complied, in all material respects, with the criteria mentioned above. The Delaware Hospital for the Chronically Ill Long-Term Healthcare Facility Examination for Fiscal Year ended June 30, 2018 can be found on our website: click here. For any questions regarding the attached report, please contact State Auditor Kathleen K. McGuiness atKathleen.Mcguiness@delaware.gov

What Was Performed? An examination of the Cadia Rehabilitation Pike Creek’s fiscal records of the Delaware Department of Health and Social Services, Division of Medicaid and Medical Assistance, Medicaid Long-Term Care Facilities’ Statement of Reimbursement Costs for Skilled and Intermediate Care Nursing Facilities – Title XIX and Nursing Wage Survey (cost report and nursing wage survey, respectively) for fiscal year ended June 30, 2018. WhyThis Engagement? This engagement was conducted in accordance with federal requirements (42 CFR 447.253 and 483 Subpart B) and state requirements (Title XIX Delaware Medicaid State Plan, Attachment 4.19D) (criteria), as applicable to the Cadia Rehabilitation Pike Creek’s fiscal records. The criteria wereused to prepare the Schedule of Adjustments to the Trial Balance, Patient Days, and Nursing Wage Surveyfor fiscal year ended June 30, 2018 found in the report. The State of Delaware is required to ensure that the fiscal records at the nursing care facilities are retained and properly support the cost report, or the financial report showing the cost and charges related to Medicaid activities, submitted to the Medicaid Agency. These costs must be compliant with federal and state regulations.Under the Delaware Medicaid State Plan, the state is required to examine a sample of facilities located within the state to ensure the facilities’ cost reports and nursing wage surveys are compliant with federal and state requirements.What Was Found? It is my pleasure to report that there were no findings identified and the CadiaRehabilitation Pike Creek Long-Term Care Facility complied, in all material respects, with the criteria mentioned above. The Cadia Rehabilitation Pike Creek Long-Term Care Facility Examination for Fiscal Year ended June 30, 2018, can be found here.For any questions regarding the attached report, please contact State Auditor Kathleen K. McGuiness atKathleen.Mcguiness@delaware.gov.

What Was Performed? An examination of the Cadia Rehabilitation Capitol’s fiscal records of the Delaware Department of Health and Social Services, Division of Medicaid and Medical Assistance, Medicaid Long-Term Care Facilities’ Statement of Reimbursement Costs for Skilled and Intermediate Care Nursing Facilities –Title XIX and Nursing Wage Survey (cost report and nursing wage survey, respectively) for fiscal year ended June 30, 2018.WhyThis Engagement? This engagement was conducted in accordance with federal requirements (42 CFR 447.253 and 483 Subpart B) and state requirements (Title XIX Delaware Medicaid State Plan, Attachment 4.19D) (criteria), as applicable to the Cadia Rehabilitation Capitol’s fiscal records. The criteria were used to prepare the Schedule of Adjustments to the Trial Balance, Patient Days, and Nursing Wage Survey for fiscal year ended June 30, 2018 found in the report. The State of Delaware is required to ensure that the fiscal records at the nursing care facilities are retained and properly support the cost report, or the financial report showing the cost and charges related to Medicaid activities, submitted to the Medicaid Agency. These costs must be compliant with federal and state regulations.Under the Delaware Medicaid State Plan, the state is required to examine a sample of facilities located within the state to ensure the facilities’ cost reports and nursing wage surveys are compliant with federal and state requirements.What Was Found? It is my pleasure to report that there were no findings identified and the CadiaRehabilitation Capitol Long-Term Care Facility complied, in all material respects, with the criteria mentioned above. The Cadia Rehabilitation Capitol Long-Term Care Facility Examination for Fiscal Year ended June 30, 2018,can be found here.For any questions regarding the attached report, please contact State Auditor Kathleen K. McGuiness atKathleen.Mcguiness@delaware.gov

What Was Performed? An examination of the Atlantic Shores Rehabilitation and Health Center’s fiscal records of the Delaware Department of Health & Social Services, Division of Medicaid and Medical Assistance, Medicaid Long-Term Care Facilities’ Statement of Reimbursement Costs for Skilled and Intermediate Care Nursing Facilities – Title XIX and Nursing Wage Survey (cost report and nursing wage survey, respectively) for fiscal year ended June 30, 2018. WhyThis Engagement? This engagement was conducted in accordance with federal requirements (42 CFR 447.253 and 483 Subpart B) and state requirements (Title XIX Delaware Medicaid State Plan, Attachment 4.19D) (criteria), as applicable to the Atlantic Shores Rehabilitation and Health Center’s fiscal records. The criteria were used to prepare the Schedule of Adjustments to the Trial Balance, Patient Days, and Nursing Wage Survey for fiscal year ended June 30, 2018.The State of Delaware is required to ensure that the fiscal records at the nursing care facilities are retained and properly support the cost report, or the financial report showing the cost and charges related to Medicaid activities, submitted to the Medicaid Agency. These costs must be compliant with federal and state regulations.Under the Delaware Medicaid State Plan, the state is required to examine a sample of facilities located within the state to ensure the facilities’ cost reports and nursing wage surveys are compliant with federal and state requirements.What Was Found? It is my pleasure to report that there were no findings identified and the Atlantic Shores Rehabilitation and Health Center Long-Term Care Facility complied, in all material respects, with the criteria mentioned above. The Atlantic Shores Rehabilitation and Health Center Long-Term Care Facility Examination for Fiscal Year ended June 30, 2018, can be found here.For any questions regarding the attached report, please contact State Auditor Kathleen K. McGuiness atKathleen.Mcguiness@delaware.gov