FAC Explorer

Corrective Action Plans

Browse how organizations respond to audit findings

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Finding 574254 (2022-008)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
4. Reinforce Medicare compliance responsibilities in SCMRC’s financial and operational planning processes.
4. Reinforce Medicare compliance responsibilities in SCMRC’s financial and operational planning processes.
View Audit 364764
Finding 574254 (2022-008)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
Internal Control / Segregation of Duties
5. Conduct periodic internal reviews to ensure no reportable credit balances exist, even if formal reports are no longer required.
5. Conduct periodic internal reviews to ensure no reportable credit balances exist, even if formal reports are no longer required.
View Audit 364764
Finding 574253 (2022-007)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
Corrective Actions Taken:
Corrective Actions Taken:
View Audit 364764
Finding 574253 (2022-007)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
1. The overdue Medicare Cost Report for FYE 2021 was filed and accepted by CMS on July 18, 2024.
1. The overdue Medicare Cost Report for FYE 2021 was filed and accepted by CMS on July 18, 2024.
View Audit 364764
Finding 574253 (2022-007)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
2. A centralized compliance calendar was developed and is maintained by the CEO to track all federal, state, and grant-related deadlines.
2. A centralized compliance calendar was developed and is maintained by the CEO to track all federal, state, and grant-related deadlines.
View Audit 364764
Finding 574253 (2022-007)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
3. Oversight of the Medicare Cost Report was formally assigned to the CEO and incorporated into SCMRC’s internal and board planning processes.
3. Oversight of the Medicare Cost Report was formally assigned to the CEO and incorporated into SCMRC’s internal and board planning processes.
View Audit 364764
Finding 574253 (2022-007)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
4. Medicare Cost Report deadlines are reviewed monthly during Finance Committee meetings to ensure accountability.
4. Medicare Cost Report deadlines are reviewed monthly during Finance Committee meetings to ensure accountability.
View Audit 364764
Finding 574253 (2022-007)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
5. SCMRC leadership received training in 2024 on CMS reporting requirements and nonprofit compliance timelines.
5. SCMRC leadership received training in 2024 on CMS reporting requirements and nonprofit compliance timelines.
View Audit 364764
Finding 574253 (2022-007)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
6. SCMRC engaged Allen Bryant, CPA, to support timely Medicare Cost Report preparation and submission going forward.
6. SCMRC engaged Allen Bryant, CPA, to support timely Medicare Cost Report preparation and submission going forward.
View Audit 364764
Finding 574253 (2022-007)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
7. SCMRC’s updated compliance tracking system was reviewed during the 2025 HRSA Verification Site Visit, contributing to the clearance of Chapter 18 conditions.
7. SCMRC’s updated compliance tracking system was reviewed during the 2025 HRSA Verification Site Visit, contributing to the clearance of Chapter 18 conditions.
View Audit 364764
Finding 574253 (2022-007)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
Corrective Action Plan:
Corrective Action Plan:
View Audit 364764
Finding 574253 (2022-007)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
1. Maintain the centralized compliance calendar with documented Medicare Cost Report deadlines, reviewed monthly.
1. Maintain the centralized compliance calendar with documented Medicare Cost Report deadlines, reviewed monthly.
View Audit 364764
Finding 574253 (2022-007)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
2. Ensure continued CEO oversight of Medicare Cost Report submissions, with responsibilities reaffirmed annually during internal planning.
2. Ensure continued CEO oversight of Medicare Cost Report submissions, with responsibilities reaffirmed annually during internal planning.
View Audit 364764
Finding 574253 (2022-007)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
3. Continue monthly Finance Committee updates on Cost Report timelines and submission status.
3. Continue monthly Finance Committee updates on Cost Report timelines and submission status.
View Audit 364764
Finding 574253 (2022-007)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
4. Provide refresher training as needed to maintain awareness of CMS and HRSA reporting requirements.
4. Provide refresher training as needed to maintain awareness of CMS and HRSA reporting requirements.
View Audit 364764
Finding 574253 (2022-007)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
5. Retain Allen Bryant, CPA, for annual preparation and submission of the Medicare Cost Report in accordance with CMS deadlines.
5. Retain Allen Bryant, CPA, for annual preparation and submission of the Medicare Cost Report in accordance with CMS deadlines.
View Audit 364764
Finding 574252 (2022-006)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
Corrective Actions Taken:
Corrective Actions Taken:
View Audit 364764
Finding 574252 (2022-006)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
1. Engaged CPA Zac Mabry in 2024 to perform monthly reconciliations and prepare SCMRC’s financial records through FY2024.
1. Engaged CPA Zac Mabry in 2024 to perform monthly reconciliations and prepare SCMRC’s financial records through FY2024.
View Audit 364764
Finding 574252 (2022-006)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
2. Engaged Allen Bryant, CPA, to complete all outstanding audits (FY21–23) based on reconciled records.
2. Engaged Allen Bryant, CPA, to complete all outstanding audits (FY21–23) based on reconciled records.
View Audit 364764
Finding 574252 (2022-006)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
3. Allen Bryant’s engagement and presence during the 2025 HRSA Verification Site Visit helped facilitate clearance of audit-related OSV findings.
3. Allen Bryant’s engagement and presence during the 2025 HRSA Verification Site Visit helped facilitate clearance of audit-related OSV findings.
View Audit 364764
Finding 574252 (2022-006)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
4. Updated SCMRC’s internal compliance calendar to include audit preparation, board approval of engagement letters, and submission deadlines.
4. Updated SCMRC’s internal compliance calendar to include audit preparation, board approval of engagement letters, and submission deadlines.
View Audit 364764
Finding 574252 (2022-006)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
Corrective Action Plan:
Corrective Action Plan:
View Audit 364764
Finding 574252 (2022-006)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
1. Continue monthly accounting and reconciliation support through CPA Zac Mabry to ensure timely year-end close.
1. Continue monthly accounting and reconciliation support through CPA Zac Mabry to ensure timely year-end close.
View Audit 364764
Finding 574252 (2022-006)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
2. Embed audit timelines, including document preparation and board approvals, into the annual compliance calendar.
2. Embed audit timelines, including document preparation and board approvals, into the annual compliance calendar.
View Audit 364764
Finding 574252 (2022-006)
Significant Deficiency 2022
South Central Medical and Resource Center, Inc.
OK
3. Secure Board review and approval of audit engagement letters by August 31 each year.
3. Secure Board review and approval of audit engagement letters by August 31 each year.
View Audit 364764
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