Finding 28705 (2022-002)

Material Weakness Repeat Finding
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2023-09-28
Audit: 28842
Organization: St. Ann's Home for the Aged (NY)
Auditor: Bonadio & CO LLP

AI Summary

  • Core Issue: The Home inaccurately reported expenses in the Provider Relief Fund submission for HHS Reporting Period 4, mixing non-COVID-19 expenses with eligible lost revenue.
  • Impacted Requirements: Compliance with HHS reporting criteria, specifically the accurate accounting of eligible expenses and lost revenue for proper fund usage.
  • Recommended Follow-Up: Ensure thorough documentation of lost revenue and clarify reporting processes to prevent future inaccuracies, especially during staff transitions.

Finding Text

Finding 2022-002 Previously reported as finding 2021-002 Program: U.S. Department of Health and Human Services (HHS), COVID-19: Provider Relief Fund and American Rescue Plan (ARP) Rural Distribution, Assistance Listing No. 93.498 Criteria: The Home is required to submit periodic Provider Relief Fund (PRF) reports to HHS. The reports require providers to account for and certify that eligible expenses and lost revenue are used to determine proper usage and recognition of funds. The current audit includes a report for the HHS designated Reporting Period 4. Condition: As part of our compliance testing, we reviewed the certified submission to the HHS portal for HHS Reporting Period 4. As a result of this review, we noted that one of the key line items, as designated by the Compliance Supplement, for `Other Provider Relief Fund Expenses? was inaccurately reported. Cause: The Home included expenses in the `Other Provider Relief Fund Expenses? line that were not incremental to COVID-19 in error. This was due to turnover in the key position responsible for establishment of internal control over compliance and submission of the reporting along with continuously evolving guidance related to completion of the PRF reporting. Effect: While the Home incurred more than sufficient lost revenues to support that the Home?s funds were fully utilized, the Period 4 report included expenses that were not incremental to COVID-19 in error, which resulted in reporting the use of the funds to reimburse those expenses rather than the actual usage of the funds, which was to fund lost revenue. Recommendation: We recommend that the Home maintain documentation that details it incurred enough lost revenue to continue to qualify for the full amount of the funding, even though reporting elements in the Period 4 indicated the funding was used to cover expenses. Views of Responsible Official of the Auditee: Due to the turnover in the Finance department, there was a miscommunication regarding how the funds from PRF reporting period 4 were supposed to be reported. The funds were reported as being expensed to personnel salaries when they should have been allocated to lost revenues. The amount of eligible lost revenue substantially exceeds the amount of provider relief funding received. No funds were used in any inappropriate manner.

Corrective Action Plan

CORRECTIVE ACTION PLAN U.S. Department of Health and Human Services St. Ann?s Home for the Aged respectfully submits the following corrective action plan for the year ended December 31, 2022. Name and address of independent public accounting firm: Bonadio & Co., LLP 171 Sully's Trail Pittsford, New York 14534 Audit period: January 1, 2022 - December 31, 2022 The findings from the 2022 schedule of findings and questioned costs are discussed below. The findings are numbered consistently with the numbers assigned in the schedule. Kevin Brown, CFO is responsible for implementing the corrective action plans noted below, which are anticipated to be complete by June 30, 2024. FINDINGS - MAJOR FEDERAL AWARDS PROGRAM MATERIAL WEAKNESS Finding 2022-002 Recommendation: We recommend that the Home maintain documentation that details they incurred enough lost revenue to continue to qualify for the full amount of the funding, even though reporting elements in the Period 4 indicated the funding was used to cover expenses. Action Taken: St. Ann?s will clearly reflect the purposes of funding on any further required reporting. All relevant records will be maintained to reflect lost revenue.

Categories

Reporting Internal Control / Segregation of Duties

Other Findings in this Audit

  • 605147 2022-002
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.498 Provider Relief Fund $3.62M
97.036 Disaster Grants - Public Assistance (presidentially Declared Disasters) $1.73M
10.558 Child and Adult Care Food Program $61,475