Observations:
Based on a review of the facility's outstanding accounts payable and interviews with staff, it was determined the facility failed to pay, in a timely manner, bills incurred in the operation of the facility that are not in dispute and are for services without which the residents' health and safety are jeopardized.
Findings include:
An interview with the facility's nursing home administrator (NHA) on July 8, at 10:30 AM revealed the facility's bills were conveyed to the facility's corporation for payment. The outstanding bills were not paid at the facility level.
A review of the facility vendor aging report (financial report, which shows unpaid invoices by date ranges) conducted at the time of the survey ending July 8, 2026, revealed outstanding accounts payable balances for bills over 180 days:
Vendor #1 (Pharmacy): $62,068.82
The aging report indicated the facility owed this balance of $62,068.82 for more than 180 days.
Vendor #2 (Respiratory Services): $12,001.67
The aging report indicated the facility owed this balance of $12,001.67 for more than 180 days.
Vendor #3 (Agency Staffing): $21,564.91
The aging report indicated the facility owed this balance of $21,564.91for more than 180 days.
Vendor #4 (Transportation Services): $2,766
The aging report indicated the facility owed this balance of $2,766 for more than 180 days.
During an interview with the NHA on July 8, 2026, at 2:00 PM, no evidence could be provided that the above outstanding bills were paid in a timely manner for services without which the residents' health and safety are impacted.
| | Plan of Correction - To be completed: 08/04/2026
The corporate Accounts Payable team was made aware of this citation.
As invoices are not received nor paid at the facility level, the administrator will obtain the most current aging report at the beginning of each month to determine which, if any, accounts require attention.
The Administrator or designee will review the facilities aging reports, note any concerns, and hold monthly meetings with Corporate Regional support to monitor payment progress for the next 90 days.
The BOM and HR will be educated on timely submission of invoices received to ensure timely payment.
The Administrative team, along with regional directors will continue to ensure a safe living environment for our residents and we will ensure ongoing delivery of all necessary goods and services. The company has verbal agreements with its primary suppliers / affiliate companies to continue with weekly payments, ensuring no interruption in service.
Results of these meetings will be included in the facilities monthly QAPI meeting.
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