Finding 970804 (2023-001)

Significant Deficiency
Requirement
N
Questioned Costs
-
Year
2023
Accepted
2024-04-24
Audit: 304370
Organization: West Liberty Care Center, INC (OH)
Auditor: Hw&co

AI Summary

  • Core Issue: The Community reduced licensed beds without obtaining required approval from HUD, violating the terms of the mortgage agreement.
  • Impacted Requirements: Written approval from HUD is mandatory before making changes to the collateral related to the HUD-insured mortgage.
  • Recommended Follow-up: Ensure compliance by obtaining HUD’s approval for any future changes and continue to work with HUD to rectify the current situation.

Finding Text

Title and CFDA Number of Federal Program (S3800-011) - U.S. Department of Housing and Urban Development, HUD-insured mortgage – CFDA No. 14.129 Type of Finding (S3800-015) - FA = Federal Award Finding Identification of Repeat Finding (S3800-019) - No Criteria or Special Requirement (S3800-020) - The Community was required to obtain written approval from HUD prior to surrendering 13 licensed beds to the State of Ohio that were collateral for the HUD-insured mortgage. Condition (S3800-030) - The Community did not obtain HUD’s approval prior to requesting and obtaining approval from the Ohio Department of Health (ODH) to reduce the licensed beds from 87 to 74 for the nursing facility during April 2023. Auditor Noncompliance Code (S3800-035) - Z Questioned Costs (S3800-040) - None Context (S3800-050) - Compliance testing. Effect (S3800-060) - The collateral of the mortgaged property was changed prior to HUD’s approval and HUD has identified this as a Tier 2 flag. Cause (S3800-070) - The Community requested a bed reduction from ODH for the nursing facility to reduce monthly expenses for unoccupied licensed beds. Recommendation (S3800-080) - The Community should adhere to the Regulatory Agreement and obtain HUD’s approval prior to taking any actions listed in the Regulatory Agreement. Auditor’s Summary of the Auditee’s Comments on the Finding and Recommendation (S3800-090) - The Organization’s management agrees with the finding and is working with HUD to obtain the necessary approval. Response Indicator (S3800-130) - Agree Completion Date (S3800-140) - Open - not completed Management’s Response (S3800-150) - Management is in the process of working with HUD to obtain the necessary approval.

Categories

HUD Housing Programs

Other Findings in this Audit

  • 394362 2023-001
    Significant Deficiency

Programs in Audit

ALN Program Name Expenditures
14.129 Mortgage Insurance_nursing Homes, Intermediate Care Facilities, Board and Care Homes and Assisted Living Facilities $8.35M