A recent report (November 2025) from the State of New York Department of Health with the results of an audit “which covered April 2019 through November 2023, concluded that the state Department of Health and the New York City Department of Health and Mental Hygiene must improve oversight and coordination to address significant deficiencies in the practice of funeral directing” according to the reporting from this article in the Albany (NY) Times Union.

 

The audit covered that time period listed above in which, according to the report there were 801,421 deaths in the state.  There is some interesting data in the report that I found, but before I report on that I’ll post what seemed to interest the New York State Department of Health and the various news sources.

 

The audit report, in its entirety from the Department of Health can be found here.

 

Among other issues, here are four areas where the report mentioned that New York’s funeral establishments can improve:

• Risks with handling of remains.  In this area the report suggested four areas that could be improved upon.

1.  Verifying deaths by the funeral director via pulsation and and listening for a heartbeat via stethoscope or putting an ear over the chest.  Audit workers confirmed that a full 1/2 of funeral directors who were asked said they did not perform these verifications of death.
2.  Funeral directors could reduce mis-identification by labeling or tagging of bodies
3.  There is a “lack of assurance of acceptable preparation rooms”.  Evidently in 2006 the NY DOH stopped inspections and now relies on an annual photo of the preparation room.  Some firms seem to submit the same photo year-after-year so there is no “assurance” the room is in compliance.
4. Burial and cremation permits are not to be issued until after the Death Certificate has been filed.  Evidently, it is widespread not to follow this practice as the audit found 2,545 death certificates that were registered after the disposition took place.  Those death certificates came from 872 different funeral directors.

 

• Funeral Director and Firm Registrations.

1. It seems that the biggest issue with this point is that there may be funeral homes with multiple branches where some of those multiple branches are not registered.

 

• Death certificates with duplicate or no Social Security numbers.

1. The audit found 773 Social Security numbers that were used for more than one person.  That affected 146 death certificates and these certificates were filed by 111 funeral directors from 108 funeral firms.

 

• Reporting firm closures and other firm changes. 

1. There is somewhat of a “muddled” situation between primary firms and secondary firms at the same locations.  Because of no inspections the DOH has reason to believe that many of these licenses are not up to date and or correct.

 

Funeral Director Daily take:  As so often happens with these types of reports authored by those not in the Death Care profession, much gets lost in the translation of what really is important.   For instance, when you have 773 Social Security numbers that are duplicated that means one thing if it is on a 10,000 death caseload, but it means a completely different thing if that is in the context of over 800,000 deaths.

 

And yes, funeral directors should be reporting those numbers correct, but in most instances, they are at the mercy of the number that was provided them by the family.  Keeping proper records should be a goal of all in the profession.

 

Also, the problem with the prep room photos and the potential for funeral director and funeral firm registrations probably gets corrected if the New York State Health Department puts an inspector or two back on the road to check on these establishments.  My guess, is that the State has other priorities that take the resources that should probably be used for this purpose but are designated for other programs.  . . . and, if you don’t fund inspections, then you cannot expect to find the bad actors in the bunch.

 

The State of New York is scheduled for a 2026 annual budget of $254 billion.  If better funeral home enforcement was a priority, it would probably take less than $500,000 to make it happen.

 

Finally. . . some statistics I found interesting:  One of the statistics I found very interesting in the audit was one you could probably only get from an audit of Death Certificates.  It was the statistic on the place of death.  Here’s what they found for those New York residents between 2019 and 2023 — a period that did cover the pandemic era deaths:

1.  46.3%  –  Hospital
2.  30.8%  –  Residence
3.  17.2%  –  Nursing Home
4.    3.4%  –  Hospice Facility

 

Anecdotally, I think those numbers represent a real change from when I started in the profession in 1980.  And, I think the change represents the value of Hospice and how it has moved forward and been almost universally accepted.  My guess, is that when I started the ranking would have been (1) Nursing Home, (2) Hospital, (3) Residence.  I think the higher ranking of Residence at this time reflects the fact that many in those residences are receiving Hospice care at home.

 

I also wonder if Hospital deaths are higher than normal on this list, simply because it was conducted during some of the pandemic era dates.

 

More news from the world of Death Care:

• Renovated funeral centre opens with unique cremation oven.  Eindhoven News (The Netherlands)
• Life Celebration by Givnish teams up with banking experts to found Family Shield Credit. . . . Glenside Local (PA)
• Why Natural Burials will be the most popular End-of-Life trend going into 2026.  Inkl

 

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