Complaints & Enforcement Division

This division is responsible for processing complaints that allege violations of federal and/or state rules, laws. In addition, imposition of civil penalties and processing of termination actions enforced when facilities/agencies do not correct serious deficiencies, according to Centers for Medicare and Medicaid Services (CMS) enforcement guidelines. In this way Medical Facilities strives to fulfill its mission of ensuring that non-long-term care facilities/agencies protect and promote patients health and safety.

The complaint division is responsible for receiving complaints. Intakes are prioritized based on CMS triage guidelines and/or state statues that take into consideration the seriousness of the allegation. Complaints by interested parties are investigated by qualified survey staff. Any individual with personal knowledge or specific information, who believes that state or federal laws or regulations have been violated may request an investigation through the complaint/intake process.

The enforcement division is responsible for the process of imposing remedies for noncompliance with rules and regulations of all non-long-term care facilities/agencies under the state and/or federal authority of medical facilities. This program monitors submittal of plans of corrections, makes recommendations for provider agreement terminations, imposes civil money penalties, directed in-service training or other state/CMS approved alternative remedies. Investigative findings may provide a basis for possible termination of the provider’s certification (agreement with CMS) through the enforcement process.

• Verify a Nurse Aide and Nontechnical Services Worker
• Office for Civil Rights (HHS.gov)
• Frequently Asked Questions