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Virginia Legal News

Virginia Beach nursing home may lose Medicare and Medicaid funding

The future looks grim for a Virginia Beach nursing home that faces the loss of Medicare funding due to poor performance issues.  Beach Shores Nursing Home and Rehabilitation was labeled a “special focus facility” in 2008 by the Centers for Medicare and Medicaid Services.

The facility in question had deficiencies related to keeping the residents well-nourished, protecting them from elder abuse and punishment, and ensuring the residents were cared for by staff with no record of abuse or neglect.  This home was also cited for failing to notify family members or doctors when elder abuse happened.

Special focus facilities are those that have chronic problems that aren’t addressed even after multiple visits from inspectors.  As Beacon Shores has failed to improve the quality of care and services that it offers, two Virginia health agencies are moving to end its Medicare and Medicaid payments.

When this happens, nursing homes often end up closing or they go through a change in management and staff.  A loss of funding means that the home is not reimbursed for nursing home patients who rely on Medicare or Medicaid, so those individuals sometimes have to find new facilities.

However, in this situation lawyers for the nursing home claim they have come to an agreement to prevent Medicare and Medicaid payments from being stopped.  So far three residents of the nursing home have chosen to go elsewhere, while 123 have chosen to remain for the time being.

It is rare for Medicare funding to be pulled from a Virginia nursing home.  Since 1995, this has only happened 12 times. 

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