The former owner of an Illinois-based nursing home has been charged with healthcare fraud in connection with an alleged scheme involving more than $64 million in fraudulent Medicare claims related to durable medical equipment (DME). Rajiv Shah, who was the primary owner of St. Anthony’s Nursing and Rehabilitation Center in Rock Island, Ill., has been charged with […]
Category: Fraud
Pinnacle Multicare Nursing and Rehabilitation Center, a New York-based nursing home co-owned by a Trump administration diplomatic nominee, received significant Medicare overpayments totaling at least $31.2 million, according to a federal audit. The organization is now suing to block repayment to the government. Pinnacle is one of more than 100 nursing homes across eight states […]
A lawsuit has been filed against the owners of two New Jersey-based nursing homes for reportedly participating in a multi-year scheme to misuse and conceal millions of dollars in Medicaid funds. The NJ Office of the State Comptroller accused New York-based owners Daryl Hagler and Kenneth Rozenberg, as well as family members and associates, of […]
The former CEO of a skilled nursing facility provider has been sentenced to 90 months in prison and ordered to pay $146 million in restitution and $8.4 million in forfeiture, in a case involving fraud and conspiracy. The SNF company itself – KBWB Operations LLC, which did business as Atrium Health and Senior Living (KBWB-Atrium) […]
President Donald Trump on Friday pardoned former Skyline Healthcare Owner Joseph Schwartz, who pleaded guilty to a $38 million tax fraud scheme. As of press time, the Office of the Pardon Attorney and Office of Public Affairs did not provide any specific reasons for the clemency, in response to an inquiry by Skilled Nursing News. […]
Centers Health Care, the owner of 44 nursing homes located across New York and New Jersey, will pay more than $6 million for making false statements on Medicare cost reports. U.S. Attorney John Sarcone III said Tuesday that skilled nursing facilities (SNFs) owned by Centers Health submitted false reports to the Centers for Medicare and […]
The Office of Inspector General (OIG) is requesting $454.4 million in its fiscal year 2026 budget to continue fighting fraud, waste, and abuse in the U.S. Department of Health and Human Services (HHS) programs, with nursing homes being identified as one of its three main areas of priority, with the reduction of antipsychotic drug use […]
Palm Health Partners’ Paul Walczak on Wednesday was pardoned by President Donald Trump, weeks after Walczak’s mother Elizabeth Fago attended a $1 million-per-person fundraiser at Mar-a-Lago. The Florida-based nursing home executive failed to pay more than $10 million in taxes, instead using the withheld taxes to enrich himself, according to an April statement from the […]
The UnitedHealth Group (Nasdaq: UNH) allegedly paid bonuses to nursing homes in order to reduce hospital transfers of residents under its Medicare Advantage (MA) plans, according to an investigation conducted by The Guardian. The investigation revealed these cost-cutting practices saved the company millions, but endangered patient health; this included delayed or denied emergency hospital care. […]
Joseph Schwartz, former head of Skyline Healthcare, was convicted and sentenced to three years in federal prison, followed by three years of supervised release, for his role in a multi-million-dollar tax scam. According to court documents filed in the U.S. District Court in the District of New Jersey on Friday, Schwartz was convicted on “willful […]
Nineteen nursing homes in Massachusetts and Connecticut have been named in a joint complaint alleging systematic fraudulent billing of Medicare and Medicaid for unnecessary care. The facilities, along with present and former management companies RegalCare Management Group, RegalCare Management 2.0, owner Eliyahu Mirlis and executive Hector Caraballo, and therapy company Stern Therapy Consultants were involved […]
There doesn’t appear to be any jail time for a Louisiana skilled nursing operator, who sent more than 800 elderly residents to wait out Hurricane Ida in a crowded, ill-equipped warehouse, resulting in the deaths of seven evacuees, five being classified as storm-related deaths. Bob Dean Jr. was instead sentenced to three years of probation, […]
More nursing homes owned by Centers Health Care are being investigated for alleged Medicaid fraud, while also having been plagued with serious safety concerns. The 240-bed Hammonton Center and Deptford Center for Rehabilitation and Healthcare in New Jersey, join other facilities owned by Centers Health that are under investigation, according to a report from the […]
ReNew Health, a California-based nursing home chain, has settled a Medicare fraud lawsuit for $7 million tied to pandemic-era waivers, according to recently unsealed court filings. The lawsuit claims that ReNew falsely billed Medicare for skilled nursing stays using the 3-day hospital waivers issued by the Centers for Medicare & Medicaid Services (CMS). The Department […]
Nursing facilities were among six provider types with the most patient abuse and neglect convictions tied to Medicaid than other provider types in 2023, as a whopping 841 criminal and civil patient and abuse complaints related to the sector – topping all other categories – are still open to investigation. There are 238 open nursing […]
Two more nursing homes in New Jersey have their Medicaid funding suspended following allegations of massive fraud by the owners related to their New York facilities. Deptford Center for Rehabilitation and Healthcare, and Hammonton Center for Rehabilitation and Healthcare will lose their Medicaid funding on May 24, according to the Office of the State Comptroller […]
Improving nursing home oversight and quality will be “top priority” for the Department of Health and Human Services’ (HHS) Office of Inspector General (OIG), as the Biden administration pushes ahead with its reform initiatives. “My top priority is propelling meaningful improvement in the quality and safety of care in the more than 15,000 Medicare- and […]
Former Skyline Healthcare owner Joseph Schwartz now faces 22 felony charges in New Jersey for allegedly not paying $29.5 million in payroll and unemployment taxes, and benefit plan fraud, while he owned and operated 95 facilities in 11 states. Schwartz was reportedly arrested on Jan. 20 at his home in Rockland County, N.Y., NBC News […]
Former Skyline Healthcare owner Joseph Schwartz on Monday was charged with Medicaid and tax fraud – more than three years after the nursing home chain collapsed. The Arkansas Attorney General’s office charged Schwartz, who lives in Brooklyn, N.Y., with eight counts of Medicaid fraud and two counts of tax fraud – all felonies – according […]
Florida nursing home giant Consulate Health Care will pay $4.5 million of a $258 million judgment in a settlement with the Department of Justice that was formally approved by a U.S. Bankruptcy judge this week. The deal, finalized on Wednesday, emanates from a decision by the 11th U.S. Circuit Court of Appeals in Florida to […]
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