The Law Office Steven L. Weiner and Associates is a San Francisco Bay Area personal injury law firm that concentrates on complex personal injury litigation that includes wrongful death, automobile accidents, elder abuse, and premises negligence. We are a nationally respected law practice with eight California offices in:
Government Regulation of Nursing Homes
The Center for Medicare & Medicaid Services (CMS) is the component of the Federal Government's Department of Health and Human Services that oversees the Medicare and Medicaid programs. A large portion of Medicare and Medicaid dollars is used each year to cover nursing home care and services for the elderly and disabled. State governments oversee the licensing of nursing homes. In addition, States have a contract with CMS to monitor those nursing homes that want to be eligible to provide care to Medicare and Medicaid beneficiaries. Congress established minimum requirements for nursing homes that want to provide services under Medicare and Medicaid. These requirements are broadly outlined in the Social Security Act (the Act). The Act also entrusts the Secretary of Health and Human Services (DHHS) with the responsibility of monitoring and enforcing these requirements. CMS, a DHHS Agency, is also charged with the responsibility of working out the details of the law and how it will be implemented, which it does by writing regulations and manuals.
CMS contracts with each state to conduct onsite inspections that determine whether its nursing homes meet the minimum Medicare and Medicaid quality and performance standards. Typically, the part of state government that takes care of this duty is the health department or department of human services. In California, the Department of Health Services is responsible for protecting the health and safety of nursing care institutions. The department conducts inspections of each nursing home that participates in Medicare and/or Medicaid on average about once a year. Nursing homes pursuant to the social security act are required to cooperate with the Department of Health Services in mandatory annual inspections under the Omnibus Budget Reconciliation Act. If the nursing home is performing poorly, however, the state inspectors may go in more frequently. The state also investigates complaints about nursing home care. During the nursing home inspection, the state looks at many aspects of quality. The inspection team observes resident care processes, staff/resident interaction, and environment. Using an established protocol of residential rights, the team interviews a sample of residents and family members about their life within the nursing home, and interviews caregivers and administrative staff.
CMS Inspection Team: Trained Inspectors Plus At Least One Nurse
The inspection team consists of trained inspectors, including at least one registered nurse. This team evaluates whether the nursing home meets individual resident needs. The regulations cover a wide range of aspects of resident life, from specifying standards for the safe storage and preparation of food to protecting residents from physical or mental abuse or inadequate care practices. There are over 150 regulatory standards that nursing homes must meet at all times. When an inspection team finds that a home does not meet a specific regulation, it issues a deficiency citation. After each inspection the Department of Health Services issues a quality rating based on the quality of service provided by the facility.
Depending on the nature of the problem, the law permits CMS to take a variety of actions; for example, CMS may fine the nursing home, deny payment to the nursing home, assign a temporary manager, or install a State monitor. CMS considers the extent of harm caused by the failure to meet requirements when it takes an enforcement action. If the nursing home does not correct its problems, CMS terminates its agreement with the nursing home. As a result, the nursing home is no longer certified to provide care to Medicare and Medicaid beneficiaries. Any beneficiaries residing in the home at the time of the termination are transferred to certified facilities.
The Law Offices of Steven L. Weiner & Associates is committed to upholding the quality of care in our long-term care institutions by taking swift legal action to compensate nursing home residents and their families for injuries resulting from neglect or inadequate care. Only this way will the quality of care for all residents be assured. If you feel that you or a loved one has been victimized by medical malpractice while in the care of a senior citizen facility, contact the Law Offices of Steven L. Weiner & Associates now at 1-800-704-0151. The consultation is free of charge, and if we agree to accept your case, we will work on a contingent fee basis, which means we get paid for our services only if there is a monetary award or recovery of funds. It is not wise to wait. You may have a valid claim and be entitled to compensation for your injuries, but a lawsuit must be filed before the statute of limitations expires.
The Law Office of Steven L. Weiner & Associates ...
exclusively practicing personal injury law in California for over 30 years.
Our California Law Offices:
1646 N California Bl., Suite 330
Walnut Creek, California 94596
California Street Center
50 California Street, Suite 1500
San Francisco, California 94111
1300 Clay Street, Suite 600
Oakland, California 94612
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2055 Gateway Place, Suite 400
San Jose, California 95110
Metro Gateway Center
1840 Gateway Drive, 2nd Floor
San Mateo, California 94401
5820 Stoneridge Mall Road, Suite 100
Pleasanton, California 94588
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Los Angeles, California 90045
4370 La Jolla Village Drive, 4th Floor
San Diego, California 92112
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Each personal injury lawyer and wrongful death attorney at the Law Offices of Steven L. Weiner & Associates provides comprehensive legal advice and lawsuit representation to clients across Central, Southern and Northern California, including Walnut Creek, Pleasanton, Oakland, San Mateo, San Francisco, San Jose, Los Angeles and San Diego.
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