OIG audits rehabilitation center’s patient notifications and staff training procedures

The OIG audited Le Rêve Rehabilitation and Memory Care (Le Rêve) to determine if staffing requirements were met for patient safety and review whether clients were properly notified about facility certifications.

Le Rêve, a facility licensed by Texas Health and Human Services, provides nursing services and residential care to Medicaid clients, some of whom have been diagnosed with Alzheimer’s disease or a related condition. In advertising as a memory care facility, Le Reve was identified by the OIG’s annual audit risk assessment regarding assisted living facilities advertising as providing memory care services without disclosing whether the facility holds a certification to serve residents with Alzheimer’s disease. The OIG also determined the facility needed to improve situations involving staffing and specialized training for direct care providers.

Specifically, Le Rêve did not:

  • Provide a written notice disclosing the facility is not certified to provide specialized care and treatment for residents with Alzheimer’s disease and related disorders, as required, to each resident, as well as each prospective resident or the next of kin or guardian.
  • Ensure adequate front desk staffing to (a) reduce the risk of residents leaving the facility unattended and (b) fully comply with COVID-19 emergency rules.
  • Have a process to ensure staff completed all required training prior to caring for residents.


Auditors provided Le Rêve with recommendations that will address the areas of concern and allow the facility to reduce potential risks to Medicaid clients. For the full audit, click here.