Category: Trial themes

Cost of Neglect

Costs McKnight’s reported that the average cost of insurance liability claims was lower for skilled nursing settings by more than $20,000 when compared to assisted living in CNA’s annual Aging Services Claim Report. The analysis provides insight into the claims and potential risk factors aging services organizations face. The costs include defense attorney fees, expert

Limiting Damages

Cleveland, TN-based Life Care Centers of America says it “strongly disagrees” with a recent Georgia verdict. After years of discovery and a lengthy and expensive trial, a jury compensated the victims $15.3 million. Unfortunately, Georgia arbitrarily limits the amount of damages a jury is allowed to award victims of neglect and abuse. The family proved

Corruption Breeds Neglect

The Advocate published a letter from Bruce Blaney explaining the corruption that leads to the abuse and neglect of vulnerable adults in long term care facilities. “The pandemic has revealed life in nursing homes to be at best risky and often lethal. Even before that institutional model killed 3,000 people during the pandemic, the legislative

Consumer Voice’s Staffing Report

Consumer Voice issued another staffing report. Understaffing has plagued nursing homes for years. Residents have suffered due to insufficient and sporadic care.  The COVID-19 pandemic laid bare for the country the result of years of not investing in resident care.  On February 28, 2022, the Biden Administration announced it would be implementing a minimum staffing

Reimbursement Recalibration

Reimbursement Rates CMS announced plans to lower nursing home Patient Driven Payment Model (PDPM) rates by 4.6% to account for unintentional overpayments. PDPM reimbursements were intended to be budget neutral. However, the nursing home industry exploited the new model and  total spending increased by 5.3%, or $1.7 billion when compared to the old Resource Utilization

Fix Patient Drive Payment Model

RUG v. PDPM There is hope that CMS will fix reimbursement rates associated with the Patient Drive Payment Model (PDPM). PDPM replaced the Resource Utilization Group – Version IV (RUGS-IV) on Oct. 1, 2019. PDPM is a case-mix model that relies on the accurate assessment and coding of over 150 items on the SNF minimum

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