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Illinois Nursing Home Chaplain Accepts a Plea Deal and is Sentenced for Sexual Abuse

Illinois Nursing Home Chaplain Accepts a Plea Deal and is Sentenced for Sexual Abuse A former chaplain for an Illinois nursing home pleaded guilty recently to two counts of criminal sexual abuse that involved both a child and an elderly woman—one count was for predatory criminal sexual assault of a child and one count was for criminal sexual assault. The ex-chaplain waived his right to a jury trial, and the judge sentenced the 58-year-old man to 26 years imprisonment. The sentencing included seven years for each count of

Ohio Grand Jury Indicts Man for Posing as a Licensed Practical Nurse for Four Years Using Stolen Identity

Ohio Grand Jury Indicts Man for Posing as a Licensed Practical Nurse for Four Years Using Stolen Identity The Ohio Attorney General’s Office  reports that a man posing as a licensed practical nurse (LPN) for four years was indicted in August and is now in jail. The man faces numerous felony charges that include engaging in a pattern of corrupt activity, identity fraud, tampering with records, telecommunications fraud, Medicaid fraud, falsification in a theft offense, two counts of practicing nursing without a license, and three counts of

Convicted Psychiatric Nurse with Revoked License Arrested Again

Convicted Psychiatric Nurse with Revoked License Arrested Again An Arizona psychiatric nurse (Laura Lynn Bell) was first caught treating Veterans Affairs (VA) patients and defrauding the VA and other insurance companies in December 2017, and then found to be continuing her fraudulent behavior in July 2018. It was discovered she had submitted fraudulent claims for over $800,000.  Bell had her license as a nurse revoked in November 2018. Investigators report that “over a 6-month period she submitted over 2,000 separate insurance claims using 73 former patient identities.” She was sentenced in August 2018

Medicare: Coverage in a Skilled Nursing Facility

Medicare: Coverage in a Skilled Nursing Facility Jeannine LeCompte, Compliance Research Specialist Many people presume that Medicare covers all long-term care, such as residing in a nursing home. This incorrect assumption can lead to misunderstandings about payment, and it is worthwhile for sector personnel and the public alike to be aware of what is, and what is not, covered by Medicare. First, it is important to understand that Medicare does not pay for residential care for people who are disabled or who otherwise cannot care for themselves. In addition,

Nurse Sentenced to Federal Prison for Stealing Pain Medications from Residents in Two Iowa Nursing Homes

Nurse Sentenced to Federal Prison for Stealing Pain Medications from Residents in Two Iowa Nursing Homes A 36-year-old licensed practical nurse (LPN) was recently sentenced to serve 15 months in a federal prison after pleading guilty in October 2018 to one count of acquiring a controlled substance by misrepresentation, fraud, deception, and subterfuge; one count of false statements relating to healthcare matters; and one count of contempt of court which occurred in May 2019. The LPN admitted in her plea agreement that in November 2016 and again

Nursing Aides Charged and Fired Over Snapchat Video Showing Resident with Dementia Being Taunted

Nursing Aides Charged and Fired Over Snapchat Video Showing Resident with Dementia Being Taunted Two former Illinois nursing home aides who recently pleaded guilty to two misdemeanor charges for disorderly conduct were sent away with a “supervision” and a “no contact” order after the judge declared their behavior to be unacceptable. The video taken four days before Christmas 2018 was posted on Snapshot social media with two laughing emojis. The caption for the video reads, “[patient’s name deleted] hates gowns!” The resident’s outraged family filed a lawsuit asking for over

Forensic Pathologist Calls Untreated Scabies Infestation “Homicide by Neglect”

Forensic Pathologist Calls Untreated Scabies Infestation “Homicide by Neglect” A lawsuit is pending over the 2015 death of a 93-year-old Georgia nursing home resident whose autopsy report attributed her death to “septicemia due to crusted scabies.” According to the American Academy of Dermatology Association—“anyone can get scabies. It strikes people of all ages, races, and income levels. People who are very clean and neat can get scabies. It tends to spread easily in nursing homes and extended-care facilities. The good news is that a dermatologist can successfully diagnose and treat

Fake Ambulance Company Used Stolen Medicare Identities in $4.7 Million Fraud Scheme

Fake Ambulance Company Used Stolen Medicare Identities in $4.7 Million Fraud Scheme After a North Carolina ambulance transport company went bankrupt, two people formerly associated with the defunct company created a fake ambulance company with the intention of billing Medicare for ambulance services that never occurred. According to the federal indictment, the two men stole Medicare identity information previously used to provide wheelchair and ambulance transports for a Humana Medicare program to make their false billings for reimbursement from Medicare appear legitimate. Investigators report that the two billed Medicare for

OIG Report Admonishes New York to Improve Oversight of Selected Nursing Homes for Compliance with Federal Life Safety and Emergency Preparedness Requirements

OIG Report Admonishes New York to Improve Oversight of Selected Nursing Homes for Compliance with Federal Life Safety and Emergency Preparedness Requirements The Office of Inspector General (OIG) recently released a report on its review of selected nursing homes in New York to determine whether they complied with revised Centers for Medicare & Medicaid Services (CMS) requirements for life safety and emergency preparedness. The review involved a non-statistical sample of 20 nursing homes taken from the 621 total nursing homes in New York participating in Medicare or Medicaid.

Understanding Medicare’s Four Components and How They Apply to Long-Term Care Facilities

Understanding Medicare’s Four Components and How They Apply to Long-Term Care Facilities Jeannine LeCompte, Compliance Research Specialist Medicare—the federal health insurance program for people 65 or older (or younger people with certain types of disabilities)—is an important component of the long-term care (LTC) sector. It is therefore a core operating principle to ensure that all residents qualify for enrollment in the program—as illegal enrollments can have serious financial and legal consequences. To be eligible for enrollment, a resident must first meet one of the following two requirements: They must be age