by James C. Sherlock
A brutal pattern is observed repeatedly.
Some chains offering the worst nursing homes in America have established a singular process for profit maximization. It is seen in a combination of the Center for Medicare and Medicaid Services (CMS) data on their operating subsidiaries and city/county property records on their real estate subsidiaries.
CMS and state agencies, failing systematically to access property records, do not fully understand those structures.
The scheme makes frail and injured people suffer horribly and die too soon from a lack of both medical treatment and assistance with the activities of daily living. Stomach-turning stories of the outcomes and citations for neglect and abuse are regularly recorded in state inspection reports. Small fines sometimes follow. They constitute rounding errors in the profits.
The managers and owners of the chains do not care. Administrators and Directors of Nursing in their operating facilities go along or are fired. Medical Directors work for the chains, not the operating subsidiaries, and seldom, if ever, visit residents.
The process used is stunningly profitable. Seldom is anyone held accountable.
The whole scheme is based upon government-insured loans. This article will recommend a permanent solution to that problem.
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