Texas Board of Nursing Facility Administrators
An Audit Report on the Compliance and Effectiveness of the Texas Board of Nursing Facility Administrators
March 1997
Report Number 97-042
Overall Conclusion
The Texas Board of Nursing Facility Administrators (Board) has not been effective in the receipt and resolution of complaints. Additionally, the Department of Health (Department) has not provided adequate support to the Board for that function. Yet, the licensing of nursing facility administrators appears to be effective and efficient.
Key Facts and Findings
Board members and Department management must work cooperatively together to effectively regulate nursing facility administrators, jointly focusing on the recommendations in this report. Additionally, the Department of Health should review the issues and recommendations within this report as they apply to its responsibilities over 14 other licensing programs.
The Legislature should review current statute related to the composition of the Board relative to federal regulations governing the state Medicaid plan.
The Board should continue to take prompt action to fulfill its statutory responsibility to adopt complete and adequate rules. While the Board has taken recent action to address some statutory requirements, it has not addressed all of them.
Operating procedures should be consistently followed by Department staff according to existing rules and statute. Board members and Department management should receive summarized status reports of program operations on a regular basis with complete and accurate information. Appropriate performance measures should be developed to evaluate the effectiveness and efficiency of operations.
The Board and Department management should establish a formal process to identify needs and request resources on a regular basis. The Board should establish a sound process to establish license fees that identifies costs related to specific operations, forecasts service demand, and considers other factors such as quality of service and efficiency of operations.
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