§483.70(a) Licensure.
A facility must be licensed under applicable State and local law.
§483.70(b) Compliance with Federal, State, and Local Laws and Professional Standards.
The facility must operate and provide services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards and principles that apply to professionals providing services in such a facility.
§483.70(c) Relationship to Other HHS Regulations.
In addition to compliance with the regulations set forth in this subpart, facilities are obliged to meet the applicable provisions of other HHS regulations, including but not limited to those pertaining to nondiscrimination on the basis of race, color, or national origin (45 CFR part 80); nondiscrimination on the basis of disability (45 CFR part 84); nondiscrimination on the basis of age (45 CFR part 91); nondiscrimination on the basis of race, color, national origin, sex, age, or disability (45 CFR part 92); protection of human subjects of research (45 CFR part 46); and fraud and abuse (42 CFR part 455) and protection of individually identifiable health information (45 CFR parts 160 and 164). Violations of such other provisions may result in a finding of non-compliance with this paragraph.
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Observations:
Based on a review of vendor invoices, facility financial documents, and interviews with vendors and staff, it was determined that facility failed to pay bills in a timely manner.
Findings include:
Review of 28 PA Code Commonwealth of Pennsylvania Long Term Care Licensure Regulations, subsection dated 7/1/23, indicated that a facility owner shall pay in a timely manner bills incurred in the operation of a facility that are not in dispute and that are for services without which the residents' health and safety are jeopardized.
Review of vendor submitted communication dated 12/27/23, indicated that the Ambulance Vendor was no longer providing services to the company, and was owed $29,361.90.
During an interview on 3/6/24, at approximately 1:46 p.m., the Nursing Home Administrator confirmed that the facility no longer utilizes the services of the Ambulance Vendor, and provided alternative transportation with another vendor and the use of the facility transport van.
Review of the facility provided contractor report on 3/6/24, at approximately 1:44 p.m. revealed a balance of $27,649.37.
During an interview on 3/6/24, at approximately 1:46 p.m., the Nursing Home Administrator confirmed that the facility failed to pay bills in a timely manner.
28 Pa. Code: 201.14(g) Responsibility of licensee.
28 Pa. Code: 201.18(e)(1)(2) Management.
| | Plan of Correction - To be completed: 03/28/2024
" The Facility submits this Plan of Correction under procedures established by the Department of Health in order to comply with the Department's directive to change conditions which the Department alleges is deficient under State and / or Federal Long Term Care Regulations. This Plan of Correction should not be construed as either a waiver of the facility's right to appeal or challenge the accuracy or severity of the alleged deficiencies or an admission of past or ongoing violation of State or Federal regulatory requirements."
1. The facility bill for the Ambulance vendor is under dispute. A new Vendor, Ride-4-Health, is working with the facility to ensure no residents are affected by the bill dispute with Ambulance vendor.
2. A review of the facility's current transportation needs was conducted to determine if transportation needs were being met. Alternative vendors were engaged to ensure no items needed for the health and safety of residents in question would be at risk due to timeliness and accuracy of bills incurred.
3. The facility will review the 24 hour report daily at stand up to ensure that residents transportation needs are addressed to ensure the Health and Safety of the Residents and any concerns will be addressed at that time.
4. The Nursing Home Administrator will conduct an audit of the transportation bill in question to ensure that any discrepancies with the Ambulance vendor are corrected and resubmitted to the facility Quality Assessment and Assurance Committee. Any concerns will be addressed as needed.
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