Fraud

Former American Senior Communities CEO, others to plead guilty in $16 million fraud case

Former American Senior Communities CEO, others to plead guilty in $16 million fraud case

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The former CEO of American Senior Communities and two others have agreed to plead guilty to some of the charges related to their alleged roles in a $16 million fraud, kickback and money-laundering scheme.

Justice Department healthcare fraud recoveries top $2.4 billion in FY 2017

Justice Department healthcare fraud recoveries top $2.4 billion in FY 2017

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Settlements with Life Care Centers of America and eClinicalWorks marked two of the largest healthcare fraud-related recoveries by the federal government in the fiscal year ending Sept. 30, the Justice Department recently announced.

Check-kiting leads to jail time for former owner

Check-kiting leads to jail time for former owner

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The former owner of a Colorado senior living community may get to keep his day job. But his nights and weekends will be spent in jail, following a check-kiting conviction.

Former ombudsman allegedly stole up to $50,000 from resident

Former ombudsman allegedly stole up to $50,000 from resident

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A former senior advocate faces her next court date Friday after being indicted on several felony counts for allegedly stealing up to $50,000 from an assisted living resident for whom she was responsible. Her former employer says the news prompts a lesson for senior living communities, residents and their families.

6 tips for effective crisis communication

6 tips for effective crisis communication

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In senior living, we have plans to mitigate disasters, address corporate compliance, handle elopement and assure quality. What plans do we have in place for crisis communication and reputation management?

Another defendant in American Senior Communities fraud case agrees to plead guilty

Another defendant in American Senior Communities fraud case agrees to plead guilty

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Another defendant in the alleged $16 million fraud, kickback and money-laundering scheme involving former executives of American Senior Communities has agreed to plead guilty to charges against him.

Court shuts down two international mail fraud operations targeting seniors

Court shuts down two international mail fraud operations targeting seniors

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A federal court in New York has permanently barred 14 people and entities from operating two alleged multimillion dollar international mail fraud schemes that targeted older Americans and others, according to the Justice Department.

Fraud case moves to California state court — for now

Fraud case moves to California state court — for now

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A class-action lawsuit against Oakmont Senior Living appears to be headed back to a California state court. The lawsuit alleges the community failed to deliver on staffing promises.

Former senior living executive's bankruptcy might jeopardize $86 million investor repayment plan

Former senior living executive's bankruptcy might jeopardize $86 million investor repayment plan

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An Atlanta-based businessman accused by the SEC of misusing investor funds raised to purchase and renovate senior living facilities has filed for bankruptcy, calling into question his ability to fulfill an agreement to repay investors more than $86 million.

Guardians embezzled $4 million from clients, Justice Department says

Guardians embezzled $4 million from clients, Justice Department says

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The office of a New Mexico guardian to older adults, veterans and people with special needs has been closed after federal officials accused the company and its co-founders of embezzling $4 million in client funds to finance their "lavish lifestyles."

Senior living developer avoids EB-5 ban, receivership

Senior living developer avoids EB-5 ban, receivership

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A Chicago-based senior living developer avoided being barred from the EB-5 Immigrant Investor Program, and his companies are not going into receivership, after a federal judge on Tuesday denied a request for a preliminary injunction and receivership made by the Securities and Exchange Commission.

ID theft gets assisted living manager 52 months in federal prison

ID theft gets assisted living manager 52 months in federal prison

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The former manager of an assisted living facility in Maryland has been sentenced to 52 months in federal prison and three years of supervised release after admitting to obtaining credit cards in the names of residents and making almost $75,000 in purchases on them.

Attorneys general launch national effort to crack down on elder abuse

Attorneys general launch national effort to crack down on elder abuse

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Over the next year, a new initiative will see state attorneys general across the country focusing on strengthening efforts to fight elder abuse, neglect and exploitation in senior living communities and other settings.

State employee allegedly accepted bribes from ALFs in $1 billion fraud scheme

State employee allegedly accepted bribes from ALFs in $1 billion fraud scheme

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An employee of the agency that oversees the licensure of assisted living and skilled nursing facilities in Florida accepted bribes from facility owners, including one charged in a historic $1 billion healthcare fraud case, in exchange for providing information that helped them keep their licenses and submit fraudulent bills for Medicare and Medicaid reimbursement, the Department of Justice alleges.

10 ALF owners sentenced for accepting kickbacks

10 ALF owners sentenced for accepting kickbacks

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Ten Miami-Dade County assisted living facility owners have received sentences of federal prison time or home confinement for accepting healthcare kickbacks, the Justice Department announced Wednesday.

False Claims Act lawsuit misinterprets Medicaid reimbursement, operator says

False Claims Act lawsuit misinterprets Medicaid reimbursement, operator says

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A $60 million lawsuit alleging understaffing and fraudulent billing at 45 senior living communities in North Carolina "is an erroneous interpretation of Medicaid reimbursement in the state," says the senior living operator at the center of the complaint.

Assisted living operator involved in record-breaking $1.3 billion healthcare fraud takedown

Assisted living operator involved in record-breaking $1.3 billion healthcare fraud takedown

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A Florida home health agency paid kickbacks to the owner of three assisted living communities and others in exchange for referrals that resulted in more than $3 million in fraudulent Medicare payments, the federal government alleged Thursday as part of a larger announcement of $1.3 billion in alleged false healthcare billings.

Senior living executive settles in $3.9 million SEC fraud case

Senior living executive settles in $3.9 million SEC fraud case

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A South Carolina businessman has settled with the Securities and Exchange Commission after being charged in January in a $3.9 million fraud case for allegedly diverting investor funds meant to buy or renovate senior living communities and using them for other purposes. Nine communities remain in receivership.

$60 million lawsuit alleges memory care understaffing, false billing

$60 million lawsuit alleges memory care understaffing, false billing

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Forty-five senior living communities in North Carolina have defrauded the state and federal governments of more than $60 million by submitting claims for personal care services that, based on staffing levels, could not have been provided to residents living in their memory care units, a lawsuit alleges.

Brookdale wins $35 million Medicare fraud lawsuit

Brookdale wins $35 million Medicare fraud lawsuit

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A federal judge has permanently dismissed a lawsuit in which a former employee accused Brookdale Senior Living and subsidiaries of submitting approximately $35 million in fraudulent Medicare claims for reimbursement.

More news for Friday, June 23

A new generation of senior housing is making 'elderly islands' obsolete ... Fraud charges added to $36M lawsuit over senior living venture ... Police find drugs, suspect golf cart 'chop shop' at retirement community

More news for Tuesday, June 13

Subpoena scuffle puts American Senior Communities fraud case on contentious course ... Business is 'Hotels.com for assisted living' ... Sunrise resident who was visited by George Clooney congratulates him on newborn twins

Improper federal payments near $100 billion mark, auditors find

Improper federal payments near $100 billion mark, auditors find

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Erroneous government payments to senior living operators and other health-related organizations are approaching $100 billion a year, a new federal report alleges.

More news for Tuesday, June 6

Mexico emerges as lower-cost senior living option ... Healthcare sector adds 24,300 jobs in May ... ONC boss calls for single health record ... Feds see drop in fraud recoveries ... Democrats mull government healthcare takeover

Assisted living community hit with False Claims Act lawsuit for $1.1 million in Medicaid claims

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The Maryland attorney general is seeking civil penalties and treble damages to the state in a lawsuit against an assisted living community he says submitted false Medicaid claims totaling $1.1 million over more than four years.

Feds sue to seize $30 million in properties owned by purported senior living developer

Feds sue to seize $30 million in properties owned by purported senior living developer

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Federal prosecutors are suing to seize nine properties, worth a total of $30 million, that they say a purported senior living community developer bought with proceeds from a multimillion dollar scheme to defraud the federal government through the EB-5 visa program and obtain "green cards" for some fugitives who are on China's "Most Wanted" list.

MFCU efforts result in 19 assisted living convictions, $168,991 in recoveries in FY 2016: OIG report

MFCU efforts result in 19 assisted living convictions, $168,991 in recoveries in FY 2016: OIG report

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Efforts by state Medicaid Fraud Control Units resulted in a total of 19 convictions and $168,991 in recoveries related to assisted living in fiscal year 2016, according to a new report from the Department of Health and Human Services Office of Inspector General.

13 assisted living operators arrested for insurance fraud

13 assisted living operators arrested for insurance fraud

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Thirteen operators of Miami-area assisted living facilities have been arrested for insurance fraud after a year-long investigation, Florida Chief Financial Officer Jeff Atwater has announced.

Attorneys general seek to expand search for Medicaid abuse and neglect cases

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Thirty-eight attorneys general asked Health and Human Services Secretary Tom Price, M.D., Wednesday for a policy change that would allow them to investigate and prosecute a wider range of abuse and neglect cases involving Medicaid beneficiaries or Medicaid-funded services.

Senate Judiciary chair seeks answers about alleged fraud by senior living developer

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Sen. Chuck Grassley has asked Homeland Security Secretary John Kelly to provide extensive information about a California senior living community developer alleged to have obtained visas for some fugitives who are on China's "Most Wanted" list.

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In Focus

Jan. 17

Party in the sky

Rancho Bernardo, CA

Remington Club resident Joel Halpern recently celebrated his 95th birthday by skydiving.