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    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.

    September 17, 2018
    Report
    #2018-BO-0001
    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.

    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.

    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    HUD Generally Established Controls Over the Section 242 Program but Used an Outdated Handbook, and Its Guidance Had Not Been Cleared Through HUD’s Directives System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.

    April 10, 2012
    Report
    #2012-KC-0001
    Blue Mountain Hospital, Blanding, UT, a HUD Section 242 Insured Mortgagee, Did Not Have Adequate Written Procedures for Its Project Funds

    The U.S. Department of Housing and Urban Development (HUD), Office of Inspector General, reviewed Blue Mountain Hospital (Hospital) based on a request from the Office of Healthcare Programs.

    June 02, 2011
    Report
    #2011-DE-1002
    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.

    April 26, 2011
    Report
    #2011-FW-0002