nursing home

In May 2022, the Attorney General of Massachusetts filed suit against Sea View nursing home – a nursing home participating in Medicaid deferral program, which provides health coverage to millions of Americans, including eligible low-income adults and children – and its owner alleging that they knowingly and/or recklessly failed to comply with federal and state legislation providing for protection to or for the residents of long-term facilities from COVID-19 virus.

Namely, the Attorney General argued that, considering the nursing home’s negligent conduct, the claims it billed to Medicaid during this time were improper and constituted false claims. The investigation against the nursing home had been launched after the Massachusetts Department of Public Health had notified the Attorney General of multiple complaints about Sea View’s failure to respect even the basic infection control and prevention procedures such as, for example, those related to the isolation of residents who were suspected, symptomatic or known to have tested positive for COVID-19. The nursing home was also accused of having failed to adequately train its staff on use of personal protective equipment and on how to handle the pandemic crisis inside the facility.

On 3 November 2022, the Attorney General announced that she had reached a friendly settlement with the nursing home in question in order to resolve the above allegations. The nursing home has agreed to pay the State a total of $175.000 and its owner has agreed to no longer own, operate, or manage a long-term care or assisted living facility in Massachusetts.

Reference: Commonwealth of Massachusetts v. Sea View et al.

News available at mass.gov en