WRAL Investigates

Feds threaten to boot Triangle nursing homes accused of patient abuse out of Medicare

Two nursing homes at the center of an ongoing WRAL News investigation are in danger of getting kicked out of Medicare.

Posted Updated

By
Cullen Browder
, WRAL anchor/reporter
RALEIGH, N.C. — Two nursing homes at the center of an ongoing WRAL News investigation are in danger of getting kicked out of Medicare.
The Centers for Medicare and Medicaid Services sent letters to Universal Healthcare North Raleigh and Universal Healthcare Lillington to inform the two facilities that they were "not in substantial compliance" with federal regulations for nursing homes.
Rebecca Knapton had set up a hidden camera in her father's room after he insisted he wasn't receiving good care. Richard Johnson, 68, is recovering from a stroke, and video from the camera shows he fell out of his bed early on April 10. It took more than an hour for staff to respond, and they berated him when they did.

Universal Health officials have said the staffers who mistreated Johnson have been fired, and the rest of the staff has received additional training.

Not long after the state inspection, CMS said the facility must stop accepting new Medicare patients if it wasn't in compliance by May 22. The agency also began levying civil fines of $1,210 a day, starting April 9, until the facility is brought into compliance.

CMS officials said Wednesday that the daily fines are still being assessed.

If the north Raleigh facility isn't brought into compliance by Oct. 15, it will terminated from the Medicare program, meaning it can get no reimbursement for services for Medicare-eligible patients.

The situation is similar at Universal Healthcare Lillington, where a man recently recorded a video showing improper care for his mother.

During an inspection there last month, officials found "conditions in your facility constituted immediate jeopardy to residents’ health and safety and substandard quality of care." The letter from CMS to the administrator of the facility doesn't elaborate on the conditions putting patients' health and safety at risk.

Although the "immediate jeopardy" condition was resolved within three days, CMS said the Lillington facility remains out of compliance with Medicare regulations. It will not be allowed to accept new Medicare patients as of Thursday, and it could be terminated from the program by Dec. 8 if doesn't come into compliance.

Meanwhile, CMS levied $30,927 in fines for the three days the "immediate jeopardy" condition existed and continues to assess $405 daily fines against the facility.

Loie Leopardi, executive director of Choice Health Management Services, which operates the two nursing homes, said the company is working to correct the deficiencies.

"Our top priority is and always has been delivering the best care to our patients, for we have no greater responsibility than the safety and well being of those who are entrusted to us," Leopardi said in a statement. "Our team has worked diligently to make the corrections identified by the state following the last inspection, further enhancing our facilities and services. We are confident that our efforts have improved the quality of life for those we care for."

Both Universal Healthcare facilities have previously racked up hefty Medicare fines for substandard care.
The north Raleigh facility has a history of repeat federal violations for insufficient staffing and failing to answer patients' call bells in a timely manner, while a patient at the Lillington facility had a foot wound infested with maggots.

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