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facilities) had documentation to support that both of these regulations were met. See Table 6 for the number and percentage of nursing facilities that had documentation to support that Federal regulations related to reporting reasonable suspicions of crimes were met. 32 We did not identify a statistically significant difference (p=0.12) between these two types of nursing homes. See Table C-3 in Appendix C. Nursing Facilities’ Compliance With Requirements for Reporting Allegations of Abuse or Neglect (OEI-07-13-00010) 11 Table 6: Nursing Facilities with Documentation to Support That Federal Regulations Related to Reasonable Suspicions of Crimes Were Met Federal Regulations Number of Nursing Facilities in Sample (n=245) Projected Number of Nursing Facilities (N=15,550) Percentage of Nursing Facilities with Documentation to Support That Both Regulations Were Met Nursing facility must annually notify covered individuals of their obligation to report to the appropriate entities any reasonable suspicion of a crime 162 10,400 66.8 Nursing facility must clearly post a notice for its employees specifying employees’ rights to file a complaint under Section 1150B of the SSA 195 12,429 79.9 Total number of nursing facilities with documentation to support that both regulations were met 148 9,487 61.0 Source: OIG analysis of nursing facilities’ submitted documentation regarding reasonable suspicion of crimes, 2014. Nursing facilities provided various types of documentation to support that covered individuals were notified of their obligation to report reasonable suspicions of crimes. Examples of documentation provided included letters to employees, employee training logs, Employee Bill of Rights, and employee-signed attestations. See Appendix D for an example of a letter notifying a covered individual of his/her obligation to report reasonable suspicions of crimes. Nursing facilities also provided various types of documentation supporting compliance with the requirement to post notification specifying employees’ rights to file a complaint under Section 1150B of the SSA. Examples of documentation provided included copies of posters specifying rights, photographs of posted documentation in employee break rooms, and posted Employee Bill of Rights. See Appendix E for an example of a posted notification specifying employees’ rights to file a complaint. When we reviewed facilities on the basis of size, we found that 57 percent of large nursing facilities had documentation to support that both Federal regulations related to reasonable suspicions of crimes were met. Sixty-three percent of small nursing facilities had such documentation.33 33 We did not identify a statistically significant difference (p=0.32) between these two types of nursing homes. See Table C-4 in Appendix C. Fifty-three percent of allegations of abuse or neglect and the subsequent investigation results were reported, as Federally required In 2012, 53 percent of allegations of abuse or neglect and the subsequent investigation results (1,338 allegations) were reported, as Federally required. Sixty-three percent of allegations of abuse or neglect were immediately reported to the nursing facility administrator or designee and the State survey agency, as required. Further, the subsequent investigation results for 63 percent of allegations of abuse or neglect were reported to the appropriate individuals within 5 working days, as required. See Table 7 for the number and percentage of allegations of abuse or neglect that were reported in compliance with Federal regulations. Table 7: Allegations of Abuse or Neglect That Were Reported by Nursing Facilities in Compliance With Federal Regulations Federal Regulations Number of Allegations in Sample (n=301) Projected Number of Allegations (N=2,502) Percent of Allegations Allegations of abuse or neglect must be immediately reported to the nursing facility administrator or designee and the State survey agency 189 1,571 62.8 Investigation results must be reported to the nursing facility administrator or designee and the State survey agency within 5 working days of the incident 191 1,588 63.4 Total number of allegations of abuse or neglect that were reported in compliance with both Federal regulations 161 1,338 53.4 Source: OIG analysis of documentation for allegations of abuse or neglect provided by nursing facilities, 2014. When we reviewed facilities on the basis of size, we found that 57 percent of allegations of abuse or neglect were from large nursing facilities that provided documentation to support that allegations were reported in compliance with Federal regulations. Forty-seven percent of small nursing facilities had such documentation.34 Nursing facilities provided various types of documentation to support that allegations of abuse or neglect were reported in compliance with Federal regulations. Examples of documentation provided included copies of incident report forms signed and dated by the facility administrator, copies of facsimiles sent to the State survey agency, and copies of email 34 We did not identify a statistically significant difference (p=0.07) between these two types of nursing homes. See Table C-5 in Appendix C. Nursing Facilities’ Compliance With Requirements for Reporting Allegations of Abuse or Neglect (OEI-07-13-00010) 12 confirmations from the State survey agency to the facility administrator regarding receipt of notification about the allegation of abuse.