Rochester Regional Health

EIN: 222551209

UEI: S39WRD889FF3

Data as of August 21, 2026

9
Audit Years
8
Total Findings
3
Repeat Findings

FY 2022-12-31

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on September 28, 2023. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by March 28, 2024, which was (876 days ago).

What is a management decision? →
2022-001
Special Tests & Provisions
REPEAT
Condition

Assistance Listing Number: Student Financial Assistance Cluster ? 84.063 Federal Pell Grant Program, 84.268 Federal Direct Student Loans Criteria: The School participates in Title IV programs administered by the Department of Education. In instances where disbursements to students resulted in credit balances, institutions are required to obtain student or parent authorization to retain funds or provide the credit balance amount to the student within 14 days of the date the credit balance was created. Condition: The School did not timely provide credit balances to students. Cause: The School did not have a procedure in place to identify and timely distribute credit balances. Effect: The School is not in compliance with federal regulations. Prevalence: 12 students within a population of 60 students tested. Repeat Finding: 2021-002

Corrective Action Plan

Management concurs with the finding and recommendations. Isabella Graham Hart School of Nursing (the School) recognizes that our Student Information System (SIS) used to monitor and manage the credit balances for students is limited in its capabilities. We are in process of implementing a new SIS that has ability to perform the necessary requirements to ensure we are processing any credit balance within the required time permitted. The School has implemented a weekly process of monitoring credit balances through the utilization of a Credit report, along with issuing payments if needed on a weekly basis to students. Implementation of the new SIS in expected to be completed in 2024 and in the interim have begun a weekly manual monitoring process.

Prior Finding References

2021-002

About Special Tests and Provisions →
2022-002
Special Tests & Provisions
REPEAT
Condition

Assistance Listing Number: Student Financial Assistance Cluster ? 84.063 Federal Pell Grant Program, 84.268 Federal Direct Student Loans Criteria: The School participates in Title IV programs administered by the Department of Education. Institutions are required to report enrollment information under Pell grant and Direct Loan programs via the National Student Loan Database System (NSLDS). Institutions must review, update and verify student enrollment statuses, program information, and effective dates that appear on the Enrollment Reporting Roster file or on the Enrollment Maintenance pages of the NSLDS website. At a minimum, schools are required to certify enrollment every 60 days. Condition: The School submits on a timely basis the required Enrollment Reporting Roster Files; however, changes in students? enrollment status were not captured and as such were not reported in a timely manner. Cause: The School did not have a procedure in place to capture changes in enrollment status in a student?s institutional records. Effect: The School is not in compliance with federal regulations. Prevalence: 23 students within a population of 60 students tested. Repeat Finding: 2021-003

Corrective Action Plan

Management concurs with the finding and recommendations. Isabella Graham Hart School of Nursing (the School) has revised its Enrollment Status Reporting procedures and provided training to ensure changes are submitted and reported on time. The above procedures have been implemented.

Prior Finding References

2021-003

About Special Tests and Provisions →

FY 2021-12-31

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on September 29, 2022. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by March 29, 2023, which was (1241 days ago).

What is a management decision? →
2021-001
Eligibility
MATERIAL WEAKNESS
Condition

2021-001 CFDA Number: Student Financial Assistance Cluster ? 84.063 Federal Pell Grant Program, 84.268 Federal Direct Student Loans Criteria: The System operates the Isabella Graham Hart School of Practical Nursing (the School) which participates in Title IV programs administered by the Department of Education. Institutions are required to establish and publish reasonable standards for measuring whether eligible students are maintaining satisfactory academic progress (SAP) in their educational program. Condition: The School, as required, published reasonable standards with regards to satisfactory academic progress. However, internal controls were not in place to measure, track and report on students? academic progress and as such a determination of whether a student maintained satisfactory academic progress in their educational program is not determinable. Cause: The School did not have a control in place to properly monitor students? academic progress. Effect: The School is not in compliance with federal regulations. Prevalence: We are unable to independently verify the pervasiveness of this issue. Repeat Finding: N/A

Corrective Action Plan

Management concurs with the finding and recommendations. Isabella Graham Hart School of Nursing (the School) has developed enhanced policies and is implementing a rigorous oversight structure to incorporate checks and balances into SAP, payment period completion, and attendance monitoring processes. Corrective action has immediately started (September 2022).

About Eligibility →
2021-002
Special Tests & Provisions
Condition

2021-002 CFDA Number: Student Financial Assistance Cluster ? 84.063 Federal Pell Grant Program, 84.268 Federal Direct Student Loans Criteria: The School participates in Title IV programs administered by the Department of Education. In instances where disbursements to students resulted in credit balances, institutions are required to obtain student or parent authorization to retain funds or provide the credit balance amount to the student within 14 days of the date the credit balance was created. Condition: The School did not timely provide credit balances to students. Cause: The School did not have a procedure in place to identify and timely distribute credit balances. Effect: The School is not in compliance with federal regulations. Prevalence: 13 students withing a population of 60 students tested. Repeat Finding: N/A

Corrective Action Plan

Management concurs with the finding and recommendations. Isabella Graham Hart School of Nursing (the School) recognizes that our Student Information System used to monitor and manage the credit balances for students is limited in its capabilities. We will be evaluating and implementing a new SIS that has ability to perform the necessary requirements to ensure we are processing any credit balance within the required time permitted. The School has implemented a weekly process of monitoring credit balances through the utilization of a Credit report, along with issuing payments if needed on a weekly basis to students. We will be implementing a new SIS in early 2023 and in the interim have begun a weekly manual monitoring process effective September 2022.

About Special Tests and Provisions →
2021-003
Special Tests & Provisions
REPEAT
Condition

2021-003 CFDA Number: Student Financial Assistance Cluster ? 84.063 Federal Pell Grant Program, 84.268 Federal Direct Student Loans Criteria: The School participates in Title IV programs administered by the Department of Education. Institutions are required to report enrollment information under Pell grant and Direct Loan programs via the National Student Loan Database System (NSLDS). Institutions must review, update and verify student enrollment statuses, program information, and effective dates that appear on the Enrollment Reporting Roster file or on the Enrollment Maintenance pages of the NSLDS website. At a minimum, schools are required to certify enrollment every 60 days. Condition: The School submits on a timely basis the required Enrollment Reporting Roster Files; however, changes in students? enrollment status were not captured and as such were not reported in a timely manner. Cause: The School did not have a procedure in place to capture changes in enrollment status in a student?s institutional records. Effect: The School is not in compliance with federal regulations. Prevalence: Results of the test performed indicate that the School did not timely report changes in enrollment status for any of its students during the year ended December 31, 2021. Repeat Finding: 2020-001

Corrective Action Plan

Management concurs with the finding and recommendations. Isabella Graham Hart School of Nursing (the School) has revised its Enrollment Status Reporting procedures and provided training to ensure changes are submitted and reported on time. The above procedure was implemented April 15, 2022.

Prior Finding References

2020-001

About Special Tests and Provisions →
2021-004
Special Tests & Provisions
Condition

2021-004 CFDA Number: Student Financial Assistance Cluster ? 84.063 Federal Pell Grant Program, 84.268 Federal Direct Student Loans Criteria: The School participates in Title IV programs administered by the Department of Education. Returns of Title IV funds are required to be deposited or transferred into the SFA account or electronic fund transfers initiated to ED as soon as possible, but no later than 45 days after the date the institution determines that the student withdrew. Condition: The School returned Title IV funds, however, did not complete the return within the required 45 days period. Cause: The School did not have a procedure in place to timely identify student withdrawals or terminations in order to calculate and return Title IV funds. Effect: The School is not in compliance with federal regulations. Prevalence: 2 of 3 currently, pending additional 5 students. Repeat Finding: N/A

Corrective Action Plan

Management concurs with the finding and recommendations. Isabella Graham Hart School of Nursing (the School) recognizes that our Student Information System used to monitor and manage the enrollment status is limited in its capability to perform the required processes of integration with our Financial Aid software. We will be evaluating and implementing a new SIS that has ability to perform the necessary requirements to ensure we are administering the returns of funds timely. In addition, the School will continue to work with the Registrar in conjunction with faculty to process any enrollment status changes that could result in a potential return of funds. This information flows directly into our Financial Aid software to initiate a recalculation of funds for processing within the 45 days timeframe. We will be implementing a new SIS in early 2023 and additional resources will be operational by December 2022.

About Special Tests and Provisions →

FY 2020-12-31

Management decision deadline — for entities that funded this organization

The FAC accepted this audit on March 29, 2022. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by September 29, 2022, which was (1422 days ago).

What is a management decision? →
2020-001
Special Tests & Provisions
Condition

Finding Number 2020-001 CFDA Number: Student Financial Assistance Cluster ? 84.063 Federal Pell Grant Program, 84.268 Federal Direct Student Loans Criteria: The System operates the Isabella Graham Hart School of Practical Nursing (the School) which participates in Title IV programs administered by the Department of Education. Institutions are required to report enrollment information under Pell grant and Direct Loan programs via the National Student Loan Database System (NSLDS). Institutions must review, update and verify student enrollment statuses, program information, and effective dates that appear on the Enrollment Reporting Roster file or on the Enrollment Maintenance pages of the NSLDS website. At a minimum, schools are required to certify enrollment every 60 days. Condition: The School submits on a timely basis the required Enrollment Reporting Roster Files; however, changes in students? enrollment status were not captured and as such were not reported in a timely manner. Cause: The School did not have a procedure in place to capture changes in enrollment status in a student?s institutional records. Effect: The School is not in compliance with federal regulations. Prevalence: 22 of 40 students selected had a change in enrollment status that was not reported in a timely fashion. Repeat Finding: No

Corrective Action Plan

Management?s Response and Planned Corrective Action: The School has revised its Enrollment Status Reporting procedures in addition to providing training to ensure changes are submitted and reported in a timely manner.

About Special Tests and Provisions →
2020-002
Reporting
Condition

Finding Number 2020-002 CFDA Number: COVID-19 ? 84.425N HEERF Fund for the Improvement of Postsecondary Education (FIPSE) Formula Grant Criteria: Institutions that received a HEERF 18004(a)(3) award are required to publicly post certain information on their website at specified frequencies. Specifically, a provided form must be posted covering each quarterly reporting period no later than 10 days after the end of each calendar quarter. Condition: The School did not post the required reporting forms on their website as required. Cause: The School did not have procedures in place to ensure timely reporting. Effect: The School is not in compliance with regulatory requirements. Prevalence: 2 missing reports for the quarters ending September 30, 2020 and December 31, 2020. Repeat Finding: No

Corrective Action Plan

Management?s Response and Planned Corrective Action: The School, as a recipient of Title VIII Coronavirus Aid, Relief & Economic Security Act developed a reporting policy on funds from Higher Education Emergency Relief Fund (HEERF), including quarterly reporting that will be posted to the School's website. The School is committed to posting the reports as required by the Department of Education and has since posted the reports on the School's website.

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