1 / 8

Nursing Home Enforcement: Ensuring Quality Care

This department enforces safety and care standards in nursing homes by conducting inspections, issuing remedies, and imposing penalties based on state and federal regulations. Public access to enforcement history aids informed decision-making. Enforcement actions range from standard inspections to immediate jeopardy situations. Remedies include corrective plans, federal penalties, and state enforcement measures like license revocation. Facilities with good compliance history receive correction notices, while those with serious violations face escalating penalties or closure.

nathanielbaker
Download Presentation

Nursing Home Enforcement: Ensuring Quality Care

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Department of Community Health Bureau of Health Systems Enforcement Unit

  2. Purpose of Enforcement • Ensures nursing homes are safe, comfortable and able to provide adequate care based on individual needs and initiates enforcement action when survey results identify citations. • Remedies are imposed as applicable to encourage facilities to maintain acceptable levels of care based on state and federal regulations. • Information regarding enforcement history allows public to make informed choices when choosing a nursing home.

  3. Enforcement • An enforcement cycle begins with a survey/inspection that results in a “deficiency”. • 1. Standard – a periodic, resident-centered inspection that gathers information about the quality of service furnished in a facility to determine compliance with the requirements of participation. • 2. Abbreviated Standard – may be conducted due to a complaint received. • 3. Extended – evaluates additional participation requirements subsequent to finding “Substandard Quality of Care” (SQOC) during a standard survey. The standard survey was expanded – a standard that has been increased (or extended) when surveyors expect SQOC. • 4. Partial Extended – finds SQOC at an abbreviated survey • 5. Immediate Jeopardy – caused or is likely to cause serious injury, harm, impairment or death to a resident.

  4. Federal Remedies • Directed Plan of Correction • State Monitor; and/or • Directed In-Service Training • Transfer of Residents • Denial of Payments for New Admissions • Civil Money Penalties 1) $50 - $3,000/day – Non-IJ 2) $3,050 - $10,000/day – IJ 3) $1,000 - $10,000/per instance

  5. Federal Remedies • Temporary Management • Termination

  6. State Enforcement Remedies • Correction Notice Orders: 1) Ban on Admissions 2) Reduced License Capacity 3) Selective Transfer of Residents 4) Receivership 5) Administrative Advisor 6) Clinical Advisor 7) Temporary Manager

  7. State Enforcement Remedies • State Civil Penalty Orders • License Revocation 1) Emergency Order 2) Non-Emergency Revocation

  8. Enforcement • Facilities with a good compliance history and relatively minor violations are normally provided an opportunity to correct areas of concern prior to the imposition of penalties. • Facilities who harm residents or continually have poor surveys have penalties imposed that become progressively more severe. • Facilities who fail to improve may also be inspected more frequently. • Continued noncompliance could result in closure.

More Related