Finding 11003 (2021-002)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2021
Accepted
2024-01-31
Audit: 14852
Organization: Cornwall Manor (PA)

AI Summary

  • Core Issue: The Manor misreported lost revenues by using the wrong calculation method for Provider Relief Funds, leading to non-compliance with federal guidance.
  • Impacted Requirements: Reporting must align with U.S. Department of Health and Human Services guidelines, specifically regarding allowable expenses and lost revenue calculations.
  • Recommended Follow-up: Management should revise their procedures to ensure accurate revenue calculations and correct future submissions to comply with the established guidance.

Finding Text

Finding 2021-002 - Significant Deficiency in Internal Control Assistance Listing No.: 93.498 COVID-19 Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution Federal Agency: U.S. Department of Health and Human Services Pass-through Agency: Not Applicable Award Number/Year: Not applicable/2020 Compliance Requirement: Reporting Questioned Costs: Not determinable. Criteria: Provider Relief Funds and American Rescue Plan (ARP) Rural Distribution (PRF) payment amounts must be used for allowable expenses and lost revenue described in the PRF terms and conditions and specified in guidance issued by the U.S. Department of Health and Human Services (HHS). Activities allowed have been defined as expenses used to prevent, prepare for, and respond to coronavirus, domestically or internationally, for necessary expenses to reimburse, through grants or other mechanisms, eligible health care providers for health care related expenses or lost revenues that are attributable to coronavirus. Recipients may choose to apply PRF payments toward lost revenues using one of three options: Option i: of the difference between actual patient care revenues; Option ii: of the difference between budgeted and actual patient care revenues or Option iii: calculated by any reasonable method of estimating revenues. Condition and Context: In the Manor’s Period 1 and 2 submissions, the Manor incorrectly reported lost revenues under Option i. rather than Option iii. Option i. would not be appropriate as the Manor only included actual resident revenues from skilled nursing and excluded from actual resident revenue amounts attributable to personal care and independent living services. Therefore, the Manor should have selected Option iii. This is not a statistically valid sample. Effect: The amounts reported to Health Resources & Services Administration (HRSA) were not in accordance with established U.S. Department of Health and Human Services reporting guidance (the Guidance). Cause: Management misinterpreted the Guidance and erroneously reported expenses in their Period 1 submission and reported lost revenue under the wrong option in their Period 1 and 2 submissions. Recommendation: We recommend that management review their process and procedures to ensure that lost revenues are calculated in accordance with U.S. Department of Health and Human Services reporting guidance. In addition, the Manor should correct future reporting submissions to report lost revenues under the proper option to align with their methodology. View of Responsible Officials: The Manor agrees with the finding and misinterpreted the guidance. The Manor agrees that they should have selected option iii as independent living revenues were not affected and personal care was undergoing renovations and thus the comparison of actual personal care revenues was not appropriate. Management will correct the error in future filings.

Corrective Action Plan

The Manor agrees with the finding and misinterpreted the guidance. The Manor agrees that they should have selected option iii as independent living revenues were not affected and personal care was undergoing renovations and thus the comparison of actual personal care revenues was not appropriate. Management will correct the error in future filings.

Categories

Reporting Significant Deficiency Internal Control / Segregation of Duties

Other Findings in this Audit

  • 11002 2021-001
    Material Weakness
  • 587444 2021-001
    Material Weakness
  • 587445 2021-002
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $1.06M