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HUD’S INSURED NURSING HOME PROGRAM Christy Thomas MAMIAF Meeting, Overland Park, KS | December 7, 2017
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FHA’s Section 232 Program • Office of Residential Care Facilities
– FHA loan product that provides mortgage insurance for residential care facilities • Skilled Nursing Facilities • Assisted Living • Board and Care Facilities
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Physical Inspections • HUD’s Real Estate Assessment Center – Conducts
physical inspections that result in a score out of a possible 100 points. – Inspections are to provide HUD with the ability to
assess whether such properties are in safe, decent, and sanitary condition and are in good repair.
• Centers for Medicare & Medicaid Services (CMS) – Five-Star Quality Rating System
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Inspection Timing • Previous score determines the timeline for the
next inspection. – 90 or above, the next inspection should be in 3
years. – 80-89, the next inspection should be in 2 years. – Less than 80, the next inspection should be in 1
year.
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Exigent Health & Safety (EH&S) • Owner/Operator Certifies that EH&S Violations
are fixed within 72 hours of inspection. – Examples: Emergency exits blocked, electrical
hazards, etc. • All other violations are to be fixed within 60
days of the inspection.
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Bala Nursing and Retirement Center in Wynnefield Heights scored a 2
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Headlines • Philly nursing home has abysmal rating and
rodents, too • Lowest Rating for Philadelphia’s Bala Nursing
Home After Inspection
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Bullet Level Four
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Colorado
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New York
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Illinois
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Concerns
• Roofs • Time Between Inspections • Skilled Nursing Facilities – CMS
Five-Star Quality Rating System
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Christy Thomas Director, Joint Civil Fraud Division
www.hudoig.gov