(g) 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 resident ' s health and safety are jeopardized.
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Observations:
Based on the facility's accounts payable ledger and staff interviews, it was determined the facility failed to comply with Federal, State, and Local laws and professional standards by not ensuring timely payment for goods and services necessary for daily operations.
Findings include:
A review of the current outstanding accounts payable ledger revealed outstanding balances as of February 5, 2025, for greater than 121 days beyond terms of payment which include:
Pitney Bowes Inc: $998.10 Approved Admissions LLC: $2,062.00 National Datacare Corporation: $14,387.09 Tech Keys: $489.51 Agile Premium Finance: $19,583.99 Fresh Air Co: $360.40 C.W. Shultz and Sons Inc: $13,327.00 Capozzi Alder, PC: $2,807.61 Cavanaugh Electrical Contracting Inc: $1,760.84 CILS Inc, Laundry Equipment Services: $215.03 Commonwealth of Pennsylvania.: $504.45 Conestoga Oral Surgery: $277.30 Dailey Resources Ltd $3,321.00 Diamond Pharmacy Services: $47,053.09 Drain Tech: $345.00 Dynalink Communications Inc: $1,974.41 FedEx: $52.88 First Choice Business Solutions: $120.83 For2Fi Inc: $1,112.73 Glen Summit Spring Water Company: $434.39 J.C. Ehrlich Co Inc: $1,822.90 Keystone Health Information Exchange: $4,730.75 Love's Thermal Systems Inc: $1,190.53 LTC Technologies Inc: $327.68 McKesson Medical-Surgical: $2,626.56 Med Part: $83.45 Metropolitan Life Insurance Company: $4,176.36 National Test Systems: $752.60 Neuhaus Certified Public Accounts; $6,121.01 OnShift Inc: $1,513.64 Patient Care Associates: $98.76 Post & Shell P.C.: $3,700.97 ReMED Services; $7,605.49 REQQER LLC: $531.00 Shelter Point Insurance: $177.43 SIPVOICE: $2,233.99 Synapse PDI: $6,760.00 Toner Quest: $491.13 Trans-Med Ambulance Inc: $13,450.62 Tri State Surgical Supply &Equipment LTD: $3,174.60 UGI Energy Services LLC: $10,87.96 UGU Utilities Inc: $574.84 UPS: $752.29 WM Corporate Services Inc: $2,556.99 Xerox Financial Services: $19,881.22 Young's Medical Equipment: $175.00 Zimmet Healthcare Services Group: $860.00 Iron Mountain: $7,708.60 Comcast: $1,071.86 Commonwealth Physician Network: $155.00 Quality Rehab Management: $19,250.00 Geisinger Wyoming Valley Medical Center: $3,131.85 Country Medical Supply: $160.00 PRN Staffing Inc: $1,040.77 Stanley Access Tech LLC: $3,320.56 Wound Healing Technologies: $3,407.00 OCO Supplies: $1,597.81 Kennedy PC: $5000.00 EZ Care Staffing: $2,669.50 Focused Staffing Group: 43,945.34 Commonwealth Health EMS: $58.00 Responsible Party Services INC: $400.25 Briggs Healthcare: $212.37 Eastern Time Inc: $3,592,92 Plains Township Ambulance: $1,276.00 Long's Laundry Equipment: $1,126.82 HealthStream Inc: $1,004.95 Med Transport Solutions: $750.00
During an interview on February 5, 2025, at approximately 2:00 PM, the Nursing Home Administrator confirmed the facility owners had not provided evidence of payments or payment agreements for the outstanding invoices.
This failure to ensure timely payment of essential goods and services demonstrates non-compliance with Federal, State and Local Laws), which requires facilities to pay bills in a timely manner to prevent jeopardizing the health and safety of residents.
| | Plan of Correction - To be completed: 03/17/2025
1.There are no goods or services that are being withheld from the residents due to the status of the A/P liabilities of River View Nursing and Rehabilitation Center.
2.The facility will systematically work to make payments on cited delinquent balances not in dispute, using discretion to ensure that current , essential vendors are paid then paying down cited delinquent balances.
3.The Regional Director of Operations Consultant will educate NHA on the monthly AP/Aging report to ensure vital services are not interrupted.
4.NHA will audit the monthly AP/Aging report monthly for 3 months to ensure vital services are not interrupted due to the status of A/P liabilities. Results of the monthly audits will be submitted to the QAPI Committee for review.
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