Healthcare Compliance Blog

MAY 4, 2022

A former employee has filed a lawsuit against a West Virginia nursing home alleging sexual harassment by another employee. An employee of the nursing home was also named as a defendant in the lawsuit. The former employee worked at the West Virginia nursing home from October 2016 through April 2021.

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Health Care Performance

APRIL 5, 2023

Sign up for MPA's FREE Compliance webinar: All webinars start at 11:00 a.m. CST and are presented by Margaret Scavotto and Scott Gima SNF Compliance Update April 19, 2023 90 minutes 1.8 NAB CEUs It’s been a long road since the Affordable Care Act mandated compliance and ethics programs for nursing homes in 2010.

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Healthcare Compliance Blog

FEBRUARY 2, 2022

A New York optician has pled guilty to grand larceny for submitting false claims for optician services that he alleged were for specific nursing home residents, but which were never provided. Additionally, it is necessary that the billing office ensures that no double billing occurs by the nursing home and any consultant.

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Med-Net Compliance

AUGUST 9, 2022

An Illinois nursing home was named in a lawsuit alleging the staff’s negligence resulted in a resident’s fall. According to the lawsuit, when the resident was admitted to the nursing home, the staff were told that she was at risk for falls, had dementia, and was almost completely blind.

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Med-Net Compliance

AUGUST 18, 2022

An Indiana provider of skilled nursing and long-term care services has agreed to pay $5,591,044.66 Discussion Points: Review your policies and procedures for operating an effective compliance and ethics program to ensure that identifying and reporting of false claims is included. The post Nursing Home Provider to Pay over $5.5M

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Med-Net Compliance

AUGUST 3, 2022

A Pennsylvania nursing home will pay $819,640 to settle claims that it provided medically unnecessary rehabilitation therapy to residents to maximize revenue, and without prioritizing clinical needs. The post Pennsylvania Nursing Home to Pay More than $819,000 to Resolve False Claims Act Liability appeared first on Med-Net.

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Med-Net Compliance

OCTOBER 4, 2022

On September 23, 2022, the Centers for Medicare & Medicaid Services (CMS) issued revised COVID-19 nursing home visitation guidance. Nursing homes should use the community transmission level metric, not the community level metric. The revision provides updated guidance for face coverings and masks during visits.

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Healthicity

APRIL 11, 2023

The OIG added just one item to its Work Plan in March of 2023 -- but it was a significant item relating to nursing homes.

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Med-Net Compliance

SEPTEMBER 22, 2022

They identified that 6,622 nursing homes had been cited for infection prevention and control program deficiencies as of February 26, 2020, and Medicare.gov indicated that 24 nursing homes were part of a nursing home chain. The OIG’s audit found that 23 of the 24 nursing homes had possible deficiencies.

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Med-Net Compliance

SEPTEMBER 19, 2022

A fire at a Washington nursing home displaced seventy-seven residents and drew a coordinated response from local firefighters. The post Washington State Nursing Home Fire Displaces 77 Residents appeared first on Med-Net. Crews responded to the blaze at about 5:30 p.m.

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Health Care Performance

FEBRUARY 14, 2023

Sign up for MPA's FREE Compliance & HIPAA webinars: All webinars start at 11:00 a.m. CST and are presented by Margaret Scavotto and Scott Gima Plan a Successful Compliance Week in 2023 February 22, 2023 90 minutes 1.8 In this webinar, we will discuss approaches to plan a fun and engaging Compliance Week for your staff.

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NY Health Law

APRIL 28, 2021

In recent months, there has been a lot of attention on decisions made during the height of the COVID-19 pandemic in New York State in regard to nursing homes. Nursing home operators themselves have faced suspicion in regard to such readmissions. Such funds will be used to support the Nursing Home Quality Pool.

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Med-Net Compliance

JUNE 17, 2022

The Minnesota Department of Health (MDH) assumed control of a nursing home in Pine Island due to concerns that a growing list of unpaid bills threatened critical services for residents. The post MN Department of Health Takes Control of Nursing Home to Ensure Residents’ Safety appeared first on Med-Net.

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Med-Net Compliance

JULY 8, 2022

A nursing home health system has agreed to pay the United States $1.75 A nursing home health system has agreed to pay the United States $1.75 The company is a not-for-profit corporation located in Florida that oversees healthcare facilities on its campus, including a nursing home and an assisted living facility.

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Health Care Performance

FEBRUARY 2, 2023

Sign up for MPA's FREE Compliance & HIPAA webinars: All webinars start at 11:00 a.m. CST and are presented by Margaret Scavotto and Scott Gima Plan a Successful Compliance Week in 2023 February 22, 2023 90 minutes 1.8 In this webinar, we will discuss approaches to plan a fun and engaging Compliance Week for your staff.

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Med-Net Compliance

AUGUST 4, 2022

The Office of Inspector General (OIG) conducted an audit and found that selected nursing homes may not have complied with federal requirements for infection prevention and control and emergency preparedness. Specifically, 28 of 39 nursing homes they audited had possible deficiencies.

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Med-Net Compliance

NOVEMBER 10, 2022

After a three-and-a-half-day trial, a jury returned a verdict for the US Equal Employment Opportunity Commission (EEOC) on behalf of a former employee of a Tennessee nursing home who had been fired after requesting intermittent leave to address her anxiety. The former employee suffered from anxiety throughout her adult life.

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Med-Net Compliance

SEPTEMBER 16, 2022

He also was employed by several area skilled nursing facilities and residential care facilities. The post Nursing Home Physician Sentenced after Taking Bribes from Drug Manufacturer appeared first on Med-Net.

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Health Care Performance

JANUARY 18, 2023

Sign up for MPA's FREE Compliance & HIPAA webinars: All webinars start at 11:00 a.m. Plan a Successful Compliance Week in 2023. Your compliance program is only as strong as the culture behind it - and the knowledge and buy-in of. SNF Compliance Update. CST and are presented by Margaret Scavotto and Scott Gima.

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Med-Net Compliance

AUGUST 1, 2022

The Centers for Medicare & Medicaid Services launched its enhanced Nursing Home Five-Star Quality Rating System which integrates data nursing homes report on their weekend staffing rates for nurses and information on annual turnover among nurses and administrators. Ratings are updated quarterly.

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Health Care Performance

JANUARY 11, 2023

Sign up for MPA's FREE Compliance & HIPAA webinars: All webinars start at 11:00 a.m. Plan a Successful Compliance Week in 2023. Your compliance program is only as strong as the culture behind it - and the knowledge and buy-in of. SNF Compliance Update. CST and are presented by Margaret Scavotto and Scott Gima.

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Hall Render

MAY 2, 2023

For this alert, “nursing homes” refers to skilled nursing facilities (often known as “SNFs”). In 2020, CMS revised the nursing home infection control regulations at 42 CFR § 483.80 Additionally, this information is now publicly available on CMS’s COVID Nursing Home Data Website.

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Healthcare Compliance Blog

FEBRUARY 8, 2022

The United States has filed a lawsuit against an Alabama psychiatrist for improper prescribing of Nuedexta to nursing home residents. In return, the psychiatrist prescribed Nuedexta to nursing home residents who did not have pseudobulbar affect.

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Health Care Performance

JUNE 29, 2022

The new guidance for Phase 3 requirements includes the long-awaited F-Tag F895: Compliance and Ethics Programs. In addition to the surveyor guidance, CMS has posted training on the new compliance guidance for surveyors, and the updated. CMS will begin reviewing nursing home Compliance and Ethics programs via survey on.

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Med-Net Compliance

JUNE 29, 2022

An Oklahoma nurse aide pleaded guilty to abusing a nursing home resident and was placed on a deferred sentence probation for three years under the supervision of the Oklahoma Department of Corrections. The post Former Oklahoma Nursing Home Employee Pleads Guilty to Abuse appeared first on Med-Net.

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Med-Net Compliance

OCTOBER 13, 2022

A jury found a North Dakota certified nursing aide (CNA) guilty of Aggravated Assault causing permanent impairment and Reckless Endangerment. The evidence at the trial showed that the CNA performed an improper, one-person lift of a nursing home resident which resulted in severe and painful injuries to the resident.

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Healthcare Compliance Blog

MARCH 10, 2022

Complaints of resident abuse in a Michigan nursing home led to an investigation by the Michigan Office of Attorney General’s Health Care Fraud Division, working with the Michigan Sentinel Project. The investigation determined that a nurse was working at the nursing home while her license was suspended, which is a felony.

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Med-Net Compliance

JULY 28, 2022

A 62-year-old resident (Resident 1) at a Washington DC nursing home was charged with bludgeoning to death his 80-year-old roommate (Resident 2) with a metal bed rail, according to police and court documents. Those records show he was released to a group home last August. It was not clear when he went to the nursing home.

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Health Care Performance

AUGUST 25, 2022

We summarize enforcement trends and deliver the latest compliance and HIPAA developments to your inbox with our Monthly Compliance News Report. Read MPA’s News Report to stay current with compliance news and developments. The OIG's audit report of nursing home life safety and emergency preparedness noncompliance.

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Healthcare Compliance Blog

JUNE 8, 2022

A Maine nursing home with a history of federal fines was listed as a special focus facility (SFF) after two residents wandered off in separate incidents last year. They were one mile from the nursing home, so police took her to the facility. In the second case, the resident was hit and killed by a motor vehicle.

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Hall Render

JUNE 30, 2022

The Centers for Medicare & Medicaid Services (“CMS”) has given surveyors new rules and updates to allow surveyors to add extra attention and increase oversight in nursing homes regarding the quality of care and quality of life for residents. Compliance and ethics. Areas with Significant Updates. Phase 3 Elements.

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Healthcare Compliance Blog

MAY 25, 2022

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has excluded a Louisiana man from participation in federal healthcare programs due to his ownership interest in seven Louisiana nursing homes that OIG previously excluded. As a result, OIG has excluded the nursing homes and their owner.

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Med-Net Compliance

OCTOBER 11, 2022

Charges were filed against two nursing home employees who were caught on camera beating and dragging an 87-year-old resident, according to officials with the Texas City Police Department. Texas City police said they had received a complaint about an elderly male being assaulted by two caregivers at an area nursing home.

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Med-Net Compliance

AUGUST 2, 2022

The Iowa Department of Inspections and Appeals (DIA) reported that an Iowa nursing home would be fined $20,000 after a resident was inappropriately discharged and left outside for 11 hours overnight. The post Nursing Home Fined after Resident Left Outside 11 Hours Overnight appeared first on Med-Net.

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Healthcare Compliance Blog

APRIL 18, 2022

A certified nurse’s aide (CNA) who was working in an Oklahoma nursing home has pled guilty to stealing money from a resident. Our office will not tolerate the financial exploitation of our beloved nursing home residents, no matter how large or small the amount.”.

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Med-Net Compliance

JUNE 14, 2022

An Illinois nursing home was fined $25,000 after the Illinois Department of Public Health determined it failed to implement progressive interventions to prevent falls. The post Illinois Nursing Home Fined $25,000 over Resident’s Fall appeared first on Med-Net.

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Healthcare Compliance Blog

MARCH 16, 2022

In a March 11, 2022, release by the Northern District of Georgia’s Office of the Department of Justice, it was reported that an investigation determined a Georgia nursing home knowingly submitted claims for unreasonable, unnecessary, and unskilled services for Medicare patients. Attorney Kurt R.

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