Evidence record
Audit Of Ohio Adult Day Health Care Services
- Jurisdiction
- Ohio
- Publication date
- April 2025
- Source record
- Original document linked
Findings
1
Recommendations
1
Overall conclusion
The Ohio Department of Medicaid did not fully comply with Federal waiver and State requirements in overseeing providers serving adults in the ADS program; inspections were insufficient to ensure a continuously safe and nonhazardous environment, placing adults at risk.
Scope
The audit assessed the Ohio Department of Medicaid's oversight of the Ohio Home and Community-Based Services Waiver's Adult Day Support/Adult Day Health Care facilities. From June 5 to June 23, 2023, OIG conducted unannounced site visits at 19 of the 20 selected ADS providers (one provider had closed). The sample was drawn from 575 Ohio providers as of June 30, 2022. The audit evaluated compliance with Federal waiver requirements (Section 1915(c)) and State requirements for health and safety and administration, based on applicable Ohio Administrative Code rules and waivers. The inspection period analyzed covered May 19, 2016 through June 20, 2023, during which ODM conducted inspections of the selected providers. The objectives included assessing whether inspections ensured a continuously safe environment and whether providers met participant needs, staffing, training, and licensing requirements.
Findings (1)
Each finding has a stable link.
- F-403
18 of the 19 ADS providers reviewed did not comply with one or more health and safety requirements; 9 providers did not comply with one or more administrative requirements; total of 117 noncompliance instances across all providers.
Recommendations (1)
- R-370
Ensure providers correct the 117 instances of provider noncompliance identified in this report; improve its oversight and monitoring of all providers; and work with providers to improve their facilities, staffing, and training.
Related finding F-403