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Audit of the Greater Springfield Senior Services, Inc. (GSSSI)

September 4, 2019 · Greater Springfield Senior Services, Inc. · Read the full official report on mass.gov ↗

Published September 4, 2019 Audit covers July 1, 2016 – June 30, 2018 Under Suzanne M. Bump · 2011–2023

In plain English
The audit found that Greater Springfield Senior Services did not always follow required steps when handling reports of elder abuse, including reporting some serious cases, documenting case work, completing investigations on time, managing service plans, and hiring qualified protective services staff.
source
“GSSSI did not always report incidents of abuse to district attorneys’ (DAs’) offices for investigation.”
Read the plain-English breakdown
What is this?

This is a Massachusetts State Auditor performance audit of Greater Springfield Senior Services’ Protective Services Unit for July 1, 2016 through June 30, 2018.

“In this performance audit, we examined GSSSI’s process for screening, investigating, documenting, and reporting incidents of abuse of elderly persons, executing service plans to assist abused elderly persons, and hiring caseworkers and supervisors for the Protective Services Unit.”
Why was it audited?

Auditors reviewed whether GSSSI followed state rules for elder-abuse case records, investigations, service plans, referrals to district attorneys, and staff qualifications.

“Below is a list of our audit objectives, indicating each question we intended our audit to answer, the conclusion we reached regarding each objective, and where each objective is discussed in the audit findings.”
Why it matters

These procedures matter because missed referrals, late investigations, or poor documentation can leave older adults at continued risk and can make it harder to investigate or prosecute abuse.

“Without making referrals to DAs’ offices and adequately documenting them in APS, GSSSI cannot be certain that it has taken the necessary steps to ensure appropriate investigation, prosecution of alleged perpetrators of abuse, and mitigation of risks of abuse.”
What's in it for me?

If you or someone you care about is an older adult in the Springfield area, this audit concerns whether the agency responsible for investigating elder-abuse reports handled those cases carefully and on time.

“GSSSI’s Protective Services Unit is 1 of 20 protective services agencies (PSAs) across the Commonwealth that have been designated by EOEA to help receive and investigate reports of abuse of elderly persons.”
The bottom line

The auditor found repeated compliance problems, but GSSSI said it was adding monitoring, training, staffing, and quality-assurance steps to fix them.

“Based on its response, GSSSI is taking measures to address our concerns in this area.”
What happens next

The report recommends that GSSSI strengthen oversight so referrals, documentation, investigations, service plans, and hiring practices meet state requirements even during turnover or heavy caseloads.

“GSSSI should establish monitoring controls to ensure that investigations are properly conducted in a timely manner, even in the event of increased caseloads and employee turnover.”
Why it's significant

This audit is significant because it found weaknesses in the systems meant to protect elderly people from abuse, neglect, self-neglect, and exploitation in the greater Springfield area.

“Without properly conducting investigations of abuse of elderly persons, workers and supervisors could reach incorrect conclusions, allowing the abuse to continue.”
Jargon, unpacked

A protective services agency is an organization assigned by the state to receive and investigate elder-abuse reports; a service plan is the written plan for actions and services meant to reduce or stop the abuse.

“Once GSSSI has investigated and substantiated an allegation of abuse of an elderly person, a Protective Services Unit caseworker, in consultation with his/her supervisor, develops a service plan to provide protective services to the person.”

What the Auditor checked

What the Auditor found

GSSSI did not always report reportable abuse incidents to district attorneys’ offices.
public safetyrecordkeeping/documentationinternal controls

Why it matters: This creates risk that abuse may not be appropriately investigated or prosecuted and that risks to elderly persons may not be mitigated.

Standard: 651 CMR 5.19(2) and 651 CMR 5.02(2) required reportable conditions to be reported to the district attorney. ( 651 CMR 5.19(2); 651 CMR 5.02(2) )

1 recommendation
  • GSSSI should establish monitoring controls to ensure DA-reportable conditions are documented, reported within 48 hours, and recorded in APS.
Agency response & Auditor reply
Agency: "In order to ensure all reports to the District Attorney’s Office are filed in accordance with 651 CMR 5.19(2), GSSSI will establish a monitoring mechanism to ensure future issues do not occur."
Auditor: "Based on its response, GSSSI is taking measures to address our concerns in this area."
GSSSI did not consistently prepare, obtain, and maintain required abuse case documentation.
recordkeeping/documentationinternal controls

Why it matters: Missing or late documentation increases the risk that alleged abuse will not be addressed appropriately or timely.

Standard: 651 CMR 5.18(2) and 651 CMR 5.10(1)(f) required current, complete case documentation and investigation summaries addressing all allegations. ( 651 CMR 5.18(2); 651 CMR 5.10(1)(f) )

2 recommendations
  • GSSSI should establish monitoring controls to ensure case record documentation is properly prepared, obtained, and maintained in a timely manner.
  • GSSSI should update its policies and procedures for documentation of case records.
Agency response & Auditor reply
Agency: "During the audit period, GSSSI acknowledges the issue with meeting regulatory timeframes."
Auditor: "Based on its response, GSSSI is taking measures to address our concerns in this area."
GSSSI did not always conduct abuse investigations properly or within required timeframes.
public safetyrecordkeeping/documentationinternal controls

Why it matters: Improper or late investigations could lead to incorrect conclusions and allow abuse to continue.

Standard: 651 CMR 5.10(2) required timely initiation, assessment, notification, interviews, and completion of investigations. ( 651 CMR 5.10(2) )

1 recommendation
  • GSSSI should establish monitoring controls to ensure investigations are properly conducted in a timely manner.
Agency response & Auditor reply
Agency: "All timeframes related to investigations, service plans and visits with elders, as well as appropriateness of investigatory steps will be monitored and addressed through QA review by both the PSOC and PSPD."
Auditor: "Based on its response, GSSSI is taking measures to address our concerns in this area."
GSSSI did not always properly develop, execute, and reassess service plans for abused elderly persons.
public safetyrecordkeeping/documentationinternal controls

Why it matters: Elderly persons may not receive the correct type or amount of services needed to prevent, eliminate, or remedy abuse.

Standard: 651 CMR 5.13 and 651 CMR 5.18(1)(a) required service plans to be developed, supervised, reassessed, and supported by ongoing contact. ( 651 CMR 5.13; 651 CMR 5.18(1)(a) )

1 recommendation
  • GSSSI should establish monitoring controls to ensure service plans are properly developed, executed, and reassessed.
Agency response & Auditor reply
Agency: "Service plan reassessments are included in the quality assurance monitoring tool utilized by the PS Operations Coordinator."
Auditor: "Based on its response, GSSSI is taking measures to address our concerns in this area."
GSSSI hired two Protective Services Unit caseworkers who lacked required qualifications and had no hiring waiver.
internal controlspublic safety

Why it matters: Hiring unqualified caseworkers could result in mismanagement of abuse investigations.

Standard: 651 CMR 5.02 set degree qualifications for protective services caseworkers, and EOEA policy allowed hiring waivers in limited circumstances. ( 651 CMR 5.02; EOEA Protective Services Supervisors’ Manual, Section II(E)(F)(1) )

1 recommendation
  • GSSSI should hire only Protective Services Unit caseworkers with required education or obtain a hiring waiver from EOEA.
Agency response & Auditor reply
Agency: "GSSSI will continue to apply for waivers going forward in order to remain compliant with the regulations."
Auditor: "Based on its response, GSSSI is taking measures to address our concerns in this area."