Minnesota Disbursed Only Part of Its Civil Money Penalty Collections, Limiting Resources To Protect and Improve Care for Nursing Facility Residents

Civil money penalty (CMP) collections received by the Minnesota Department of Human Services (State agency) during our audit period totaled $592,000. However, the State agency reimbursed nursing facilities $114,000, or only about 20 percent of the amount collected, for expenditures incurred during the same time period. Although expenditures incurred during the audit period were generally allowable, we identified claims of $5,000 for nursing facility staff wages and supplies that were already supported by other Federal and State funding sources.