On April 14, 2022, the San Francisco Department of Public Health announced that the Centers for Medicare and Medicaid Services (CMS) terminated Laguna Honda’s participation in the Medicare and Medi-Cal programs due to continued violations of federal standards.
On April 6, 2022, the National Academy of Sciences, Engineering and Medicine’s Committee on the Quality of Care in Nursing Homes released a 605 page report – The National Imperative to Improve Nursing Home Quality; Honoring Our Commitment to Residents, Families and Staff – that is meant to be a blueprint for desperately needed reform of nursing home care.
A scathing March 29, 2022 report by Michael Tilden, Acting California State Auditor, charged that the California Department of Public Health “essentially enabled hospice agency operators who are possibly fraudulent to continue functioning, putting patients at serious risk of not receiving appropriate care.” The long-awaited report opens with a letter to the governor and legislative leaders that states: “Indicators strongly suggest that a network or networks of individual perpetrators in Los Angeles County are engaging in a large and organized effort to defraud the Medicare and Medi-Cal hospice programs.
In this Issue
- White House Announces Reform Plan to Crack Down on Nursing Home Bad Actors
- CANHR’s 2022 Legislative Priorities
- Biggest Nursing Home Bill in a Generation Heads to the State Senate
- Federal Legislation Introduced to Stop Medicaid Recovery
- Assisted Living Waiver (ALW) Slot Expansion
- Justice in Aging’s Litigation Win and Release of Guide on Improving Nursing Home Care
- CMS Adds COVID-19 Booster Data and Staffing Data for Nursing Homes on Care Compare
- Nursing Home and Assisted Living Visitation Update
- The Progressive Magazine Features Long Term Care Facility Evictions
- Cal Long Term Care Compare Website Re-Launched
White House Announces Reform Plan to Crack Down on Nursing Home Bad Actors
On February 28, 2022, the White House announced plans for far-reaching reforms to improve the safety and quality of nursing home care, establish and enforce a federal minimum staffing requirement, fight inappropriate drugging of residents, strengthen emergency preparedness standards, integrate pandemic lessons into requirements, hold poor performing nursing homes and chains accountable, and improve public information on nursing home ownership and quality. The bold statement took direct aim at the nursing home industry, acknowledging widespread failures by nursing homes to comply with federal standards and the need “to crack down on bad actors.” Decisive action is needed now, it states, or unacceptable conditions may get worse. CANHR applauds the Biden Administration for standing up so strongly for nursing home residents and is excited to work with it to make a real difference in residents’ lives.
If a nursing home resident changes to Medi-Cal payment status, the nursing home is prohibited from transferring the resident to another room as a result of that payment change, with the exception of transferring the resident from a private room to a semi-private room.