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Audit Audit of the Chelsea Soldiers’ Home

In this performance audit, we examined certain aspects of CHE’s administration of premium overtime for its Nursing Department, including overtime authorization, payment, and documentation for the period July 1, 2017 through June 30, 2019.

Organization: Office of the State Auditor
Date published: March 30, 2021

Executive Summary

 

In accordance with Section 12 of Chapter 11 of the Massachusetts General Laws, the Office of the State Auditor has conducted a performance audit of the Chelsea Soldiers’ Home (CHE) for the period July 1, 2017 through June 30, 2019. In this performance audit, we examined certain aspects of CHE’s administration of premium overtime for its Nursing Department, including overtime authorization, payment, and documentation.

Below is a summary of our findings and recommendations, with links to each page listed.

Finding 1

CHE did not document the need for Nursing Department premium overtime or properly maintain required Nursing Department overtime staffing records.

Recommendations

  1. CHE should enhance its policies and procedures by establishing monitoring controls to ensure that it properly documents the need and prior approval for overtime worked and that its supervisors properly complete the Daily Staffing Schedules and Weekly Overtime Summary Forms.
  2. CHE should create policies and procedures to require overtime documentation to be retained for at least six years in accordance with the Massachusetts Statewide Records Retention Schedule.

Finding 2

CHE’s nursing staff members were not approved to receive as much as $223,136 in incremental overtime at a premium rate.

Recommendation

CHE should enhance its overtime policies, procedures, and processes to apply the same rules to incremental overtime that apply to other overtime.

 

A PDF copy of the audit of the Chelsea Soldiers' Home is available here.

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