How Nursing Homes Can Leverage MDS, PBJ, Other Facility Data to Protect Against Litigation, Lending Issues

In recent years, nursing homes have faced increased scrutiny and litigation, often driven by data that can be misunderstood or misrepresented. To secure themselves, nursing homes must leverage a data strategy, ensuring accurate documentation and clear communication of their data story to legal experts and stakeholders. This approach can mitigate risks, clarify misunderstandings, and showcase […]

Next Step Healthcare to Pay $4M in Largest Nursing Home Settlement in Massachusetts

Nursing home operator Next Step Healthcare reached a $4 million settlement with the Massachusetts Attorney General Andrea Joy Campbell, in what is the largest nursing home settlement ever reached in the state. As part of the settlement, Next Step will pay $4 million to resolve allegations, improve staffing levels and agree to independent compliance monitors. […]

Lawsuit Against LaVie Claims Nursing Home Chain Transferred Ownership to Avoid Dispute Settlement Payments

LaVie Care Centers, which filed for Chapter 11 bankruptcy with nearly $1.2 billion in debt this week, is also at the center of a lawsuit that claims the company shifted ownership of some of its facilities in Florida to avoid payment on previous dispute settlements. The Atlanta-based company denies these claims, and its court filing […]

‘Fast-Tracked’: AHCA Lawsuit Opposing Nursing Home Staffing Mandate Has Strong Legs, With Injunction Expected Soon

Lawyers and other leaders in the nursing home sector believe the American Health Care Association’s (AHCA) lawsuit is strong, framed well and likely to succeed, with a decision possible by early 2025. An injunction from the plaintiffs – all 5-Star facilities located in Texas along with AHCA – regarding staffing rule’s implementation should follow in […]

[UPDATED] ‘A Nightmare’: AHCA Files Lawsuit Against Federal Nursing Home Staffing Mandate

The American Health Care Association (AHCA) filed a lawsuit late Thursday against the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) for exceeding their statutory authority and “arbitrarily and capriciously issuing” a final minimum staffing rule. The lawsuit asks the court to issue an order and […]

Nursing Home Leaders Using ‘All the Tools Available’ in Aggressive Push to Halt CMS Staffing Mandate

LeadingAge joins a slew of other nursing home industry voices in urging a multi-faceted strategy following the finalization of the federal minimum staffing rule a month ago. The advocacy group is pursuing legislative, legal and regulatory avenues to stop the mandate and build the workforce. Katie Smith Sloan, president and CEO of LeadingAge, said, “We […]

‘Significant Backlog of Inspectors’: Alleged Failure To Investigate Nursing Home Complaints Behind State Lawsuit

A recent lawsuit filed in federal court accuses the Maryland Department of Health (MDH) of failing to adequately inspect and investigate complaints in the state’s nursing facilities, leading to significant instances of abuse and neglect. The lawsuit, representing five anonymous residents with mobility impairments and complex health needs, claims MDH’s inaction disproportionately harms residents with […]

More Centers Health Care Nursing Home Facilities Involved in Medicaid Fraud Allegations

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 […]

California Nursing Home Chain Settles Medicare Fraud Lawsuit Linked to Hospital Waivers

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 […]

LTC100 Panelists Weigh in on CMS Staffing Rule’s ‘Bloodbath’, Growth Strategies, and Risk-Based Model Reimbursement

If there’s no additional funding for the minimum staffing rule, well over 5% of existing facilities will close, depending on how successfully operators can pivot to meet the standard. The rates of closure may even reach 10% to 15%, depending on the market, cautioned sector leaders attending the LTC100 conference this week. Steve Nee, CEO […]

Class Action Settlement Tied to $1B Investment in Moving Nursing Home Residents to HCBS

One state has committed more than $1.1 billion to boosting community living options for people who would otherwise be in a nursing home, following a landmark class action lawsuit settlement. The 54-page settlement agreement still needs a judge’s approval. The original case, titled Marsters v. Healey, involved six residents who were unable to leave their […]

Omega Announces Potential Settlement Involving Changes to Corporate Diversity Practices

A legal settlement reached by Omega Healthcare Investors Inc. (NYSE: OHI), if finalized, will change some of the real estate investment trust’s corporate governance policies and practices related to diversity, equity, inclusion and belonging, the company announced Monday. Omega’s insurance company will also pay $850,000 in attorney fees and expenses, while a court hearing scheduled […]

Nursing Home Chain Petersen Files for Chapter 11 Bankruptcy

One of the largest nursing home operators in the U.S., Petersen Health Care, on Wednesday filed for bankruptcy, following cyberattacks and defaults on government-backed loans. The Illinois-based operator filed for Chapter 11 protection in Delaware bankruptcy court with more than $295 million in debt, according to a report from Reuters. About $45 million of that […]

California Nursing Home Chain Agrees To Pay Up to $15.5M Amid Physical, Sexual Assault Allegations

Following allegations of physical and sexual assaults, and neglect of patient medical care, California operator Mariner Health Care has agreed to pay up to $15.5 million in penalties, plus $2.25 million in costs, if unable to abide by terms related to patient safety and staffing levels. Mariner Health Care neither admitted to nor denied wrongdoing, […]

Nursing Home Operators Targeted in Increasing Number of Litigation Tied to 1099 Misclassification

Litigation tied to the use of independent contractors in the nursing home space has increased ever since the Department of Labor (DOL) in January cracked down on the criteria used to classify workers in the sector. Operators are being targeted, rather than the agencies supplying such staff, and the changes are bound to affect recruitment. […]

Nursing Home Mogul Philip Esformes Pleads Guilty to Medicare Fraud, Given No Additional Jail Time or Fines

Medicare fraudster Philip Esformes pleaded guilty on Thursday to health care fraud, laying to rest a longstanding effort to prosecute him after his 20-year sentence was commuted by former President Donald Trump. Esformes, previously convicted of one of the biggest Medicare frauds in 2019 for his involvement in a billion-dollar Medicare fraud scheme, pleaded guilty […]