§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 facility documents, invoices, account payable ledgers, vendor account receivable ledgers, and vendor and staff interviews, it was determined that the facility failed to pay invoices from their transportation vendor for six of six months (10/23, 11/23, 12/23, 1/24, 2/24, and 3/24) which caused the transportation vendor to terminate transport services to the residents.
Finding include:
28 PA Code of the Pennsylvannia Department of Health, Long Term Care Facility Regulations, effective July 1, 2023, indicated that 201.14 subsection (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.
A review of facility documents it was revealed that on 3/1/24, the facility was notified by a dialysis center that Resident R1's transportation to return to the facility was cancelled due to non payment.
A review on 3/11/24, of the transportation vendor's account receivable ledger revealed that the facility had unpaid past due invoices with dates of service of 10/2/23, to 3/1/24 with a total unpaid balance of $131,256.30 which included a finance charge posted on 3/4/24.
During an interview on 3/11/24, at 10:58 am the transportation vendor representative confirmed that their records indicate that the facility owes an unpaid balance of $131,256.30 in unpaid invoices and finance charges.
A review on 3/11/24, of facility accounts payable ledger revealed that the facility documented unpaid 61 to 90 days past due invoices for a transportation vendor that had a total unpaid balance of $36,589.00.
During an interview on 3/11/24, at 11:35 am the Nursing Home Administrator confirmed the unpaid balance owed to their transportation vendor is $36,589.00.
During an interview on 3/11/24, at 3:10 pm the Nursing Home Administrator confirmed that the facility has unpaid invoices owed to the transportation vendor.
PA Code: 201.14(g) Responsibility of licensee.
| | Plan of Correction - To be completed: 03/18/2024
Resident R1 did return to the facility from Dialysis on 3-1-2024 with no issuses noted, facility paid for the resident to return from Dialysis. Accounts Payable clerk was reeducated on paying and processing invoices timely by the Nursing Home Administrator. Facility will pay remaining balance of $36,589 to Murrysville Medic One. NHA will complete audits twice a week to ensure that Murrysville Medic One is paid and no outstanding balance is owed. Results of these audits will be taken to the quality assurance meeting to be reviewed for accuracy.
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