Expect state survey agencies to do a better job reporting resident abuse to law enforcement and Medicaid Fraud Control Units, if they follow a strongly worded directive from the Centers for Medicare & Medicaid Services. In a March 28 letter to state survey agencies and CMS regional administrators, CMS Survey and Certification Group Director Steven Pelovitz clarifies agency policies on abuse and lays out the time frames within which states must process allegations of misconduct. The missive comes in the wake of a March 4 Senate hearing that highlighted horrific instances of nursing home abuse and a General Accounting Office report stressing that abuse allegations too often go unreported. The letter stresses that, if a survey agency validates a finding of abuse, it "must report the substantiated findings to law enforcement and, if appropriate, the Medicaid Fraud Control Unit."