Senior Living Owner Arrested in $1 Billion Billings Scam

An owner of multiple health care facilities in the Miami area, including senior living communities, has been charged in the largest single fraud scam of its kind in history, totaling more than $1 billion, according to the Department of Justice (DOJ). The owner, Phillip Esformes, 47, was charged with conspiracy, obstruction, money laundering and health […]

Editor’s Picks: DOJ’s Elder Justice Task Forces

This week, Senior Housing News readers were interested to hear about Enlivant’s growth plans from the company’s CEO, Jack Callison. Readers were also keen to learn how REITs will be impacted by the current headwinds in the skilled nursing sector, and why the senior housing industry is poised for “unprecedented” growth. SHN’s “In the Pipeline” […]

Extendicare to Pay $38 Million in Largest Failure-of-Care Settlement in DOJ History

Extendicare Health Services Inc., which operates 146 skilled nursing facilities in 11 states, has agreed to pay $38 million to settle claims that it billed Medicare and Medicaid for “substandard” nursing services, the Department of Justice (DOJ) announced late last week.  Extendicare and its subsidiary Progressive Step Corporation (ProStep) allegedly billed the federal government for […]

Justice Department Zooms in on Elder Financial Abuse

Financial exploitation of the elderly is a nearly $3 billion business annually, depleting the resources of many, including businesses and the Medicare and Medicaid programs. In hopes of curbing this fraud, the U.S. Department of Justice (DOJ) launched the Elder Justice website this week. “The launch of the Elder Justice website today marks another milestone […]

Omnicare to Pay $124 Million for Nursing Home Kickbacks

Omnicare Inc., the nation’s largest provider of pharmaceuticals and pharmacy services to nursing homes, will pay more than $124 million to settle claims that it allegedly offered improper financial incentives to skilled nursing facilities, the Department of Justice recently announced.  The company gave discounts in return for the opportunity to provide medication to Medicare and […]

Senior Care Company Targeted in Fraud Case Must Pay Feds $2.7 Million

A Chattanooga, Tenn.-based nursing home manager has agreed to pay $2.7 million to resolve False Claims Act allegations, announced the Department of Justice (DOJ) last week.  Grace Healthcare LLC and its affiliate Grace Ancillary Services LLC allegedly violated the False Claims Act, according to DOJ, for knowingly submitting claims for medically unnecessary rehabilitation therapy.  The […]