Compliance

We are committed to advancing the state of healthcare services for the elderly, by providing cost-effective, outcome oriented services. We continuously strive to provide quality care and service consistent with ethical and lawful standards. We are also committed to compliance with the laws and regulations that govern the provision of healthcare services and the payment for those services.

Consistent with this commitment, we have adopted a Compliance Program to assist in the development and implementation of internal controls and procedures that promote compliance and help to prevent fraud, waste and abuse. Location employees participate in periodic training to receive information with regard to their duties and obligations pursuant to the Compliance Program. A third-party Compliance Line is available 24 hours per day, 7 days a week, to provide customers, employees and contractors the ability to report concerns.

We have also adopted a Code of Conduct, developed specifically to set clear expectations and standards, to reinforce individual integrity and accountability, and to promote compliance with applicable governmental laws, rules and regulations as well as internal policies and procedures. The full text of the Code may be obtained by accessing the link below. The Code of Conduct applies to all covered persons which include directors, officers, employees of our Center and its subsidiaries and independent contractors. Independent contractors that provide services similar to employees or other individuals providing services directly to patients or residents are required to complete Code of Conduct Compliance Training at the link below. The Code of Conduct Acknowledgment Form at the end of the Code of Conduct must also be signed and provided to the applicable service location.

The Compliance Program is intended to empower personnel to prevent, detect and resolve any conduct or action which fails to comport with applicable law, or which fails to satisfy the Code of Conduct. We are dedicated to full implementation of this Program. It is the intention of the Company to create and maintain a company culture that refuses to tolerate non-compliance, in any respect, with law or with the Code of Conduct.

Links

‍Your Privacy
Notice of Non-Discrimination
Civil Rights Grievance/Complaint Policy and Procedure

Reach Out Program

Residents/patients, family members, visitors, and other third parties are encouraged to report questions, concerns, comments or feedback. You may contact any staff member, a business location manager or our dedicated ReachOut Line by email or phone at the following:

Reach Out Email: reachout@genesishcc.com

Reach Out Line: (800) 944-7776

Concerns reported through the Reach Out Program are assigned to the appropriate personnel within the organization to conduct a review and contact the reporter. Reports may also be made anonymously, but must give enough information to initiate a review of your concern.

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Notice of Nondiscrimination

This service location complies with civil rights laws and do not exclude, deny benefits to, or otherwise discriminate or permit discrimination, including, but not limited to, bullying, abuse, or harassment, against any person (i.e. patients, employees, or visitors) or based on any person’s association with another individual, based on actual or perceived race, color, religion, national origin, gender, gender expression, gender identity, sexual orientation, HIV status, age, disability, marital status, pregnancy, ancestry, genetic information, amnesty or veteran status. This prohibition applies in admission to, participation in, or receipt of the services and benefits under any of our programs and activities whether carried out by the location directly, or through a contractor or any other entity with which the location arranges to carry out its programs or activities.

If you need these services, or believe that the service location has failed to provide these services or has engaged in discrimination, or if you need help filing a grievance, you may contact the Civil Rights Coordinator who is available to help you:

In case of questions, please contact the Administrator, Rehab Agency Administrator or Group Practice Director of Rehab or contact the Corporate Civil Rights Coordinator by regular mail or e-mail at:

Genesis Administrative Services
101 E. State Street
Kennett Square, PA 19348
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Attn: Corporate Civil Rights Coordinator
CorporateCivilRightsCoordinator@genesishcc.com

Civil Rights Grievance/Complaint Policy and Procedure

This service location complies with civil rights laws and does not exclude, deny benefits to, or otherwise discriminate against any person (i.e. patients, employees, or visitors) because of race, color, religion, national origin, gender, gender expression, gender identity, sexual orientation, age, disability, marital status, pregnancy, ancestry, genetic information, amnesty, or veteran status. Each service location has identified a Civil Rights Coordinator and has adopted an internal grievance procedure providing for prompt and equitable resolution of complaints alleging any action prohibited by Section 1557 of the Affordable Care Act (42 U.S.C. 18116) and its implementing regulations at 45 CFR Part 92, issued by the U.S. Department of Health and Human Services. Section 1557 prohibits discrimination in certain health programs and activities.

Any person who believes someone has been subjected to discrimination may file a grievance by following the procedure described below. It is against the law for service locations to retaliate against anyone who opposes discrimination, files a grievance, or participates in the investigation of a grievance.

This service location will make appropriate arrangements to ensure that disabled persons are provided with appropriate accommodations to participate in this grievance process. Such arrangements may include, but are not limited to, providing interpreter services or assuring a barrier-free location for the proceedings. The Civil Rights Coordinator is responsible for such arrangements.

PURPOSE

• To ensure that staff do not discriminate as defined above.
• To ensure that persons with disabilities are provided with appropriate methods and accommodations to express and resolve civil rights grievances/concerns.

PROCEDURE

1. Grievances must be submitted to the Civil Rights Coordinator within sixty (60) days of the date the person filing the grievance becomes aware of the alleged discriminatory action.
2. Grievances must be in writing, and contain the name and address of the person filing it. The grievance must state the problem or action alleged to be discriminatory and the remedy or relief sought.
3. The Civil Rights Coordinator (or designee) will:

1. Upon receipt, notify the Corporate Compliance Department of the Civil Rights complaint.
2. Conduct an investigation of the complaint. This investigation may be informal, but it must be thorough, affording all interested persons an opportunity to submit evidence relevant to the complaint.
3. Log each complaint onto the Grievance/Concern Log.
4. Maintain files and records relating to such grievances. To the extent possible, and in accordance with applicable law, the Civil Rights Coordinator will take appropriate steps to preserve the confidentiality of files and records relating to grievances.

1. The Civil Rights Coordinator will issue a written decision on the grievance, based on a review of the evidence, no later than thirty (30) days after its filing, including a notice to the complainant of their right to pursue further administrative or legal remedies.
2. The person filing the grievance may appeal the decision of the service location Civil Rights Coordinator by writing to the Corporate Civil Rights Coordinator within fifteen (15) days of receiving the service location Civil Rights Coordinator’s decision.

1. The Corporate Civil Rights Coordinator may be contacted by regular mail or e-mail at:
   Genesis Administrative Services
   101 E. State Street
   Kennett Square, PA 19348
   Attn: Compliance Department
   CorporateCivilRightsCoordinator@genesishcc.com
2. The Corporate Civil Rights Coordinator will issue a written decision in response to the appeal no later than thirty (30) days after its filing.

1. The availability and use of this grievance procedure does not prevent a person from pursuing other legal or administrative remedies, including filing a complaint of discrimination in court or with the U.S. Department of Health and Human Services, Office for Civil Rights. A person can file a complaint of discrimination electronically through the Office for Civil Rights Complaint Portal which is available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201.

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. Such complaints must be filed within 180 days of the date of the alleged discrimination.

Auxiliary Aids

Patients and residents have a right to appropriate auxiliary aids and services free of charge. Concerns regarding provision of auxiliary aids and services may be made to the Reach Out Line at 800-944-7776 or via e-mail to CorporateCivilRightsCoordinator@genesishcc.com. For more information on Section 1557, visit www.hhs.gov/civil-rights/for-individuals/section-1557 .

Business Associate Agreement

Click here to access our current Business Associate Agreement. For more information, please contact HIPAA@Genesishcc.com.

Elder Justice Act: Your Duty to Report Reasonable Suspicion of Crime

Covered Individuals are required to report to the State Survey Agency (SSA) and to a local law enforcement agency where the facility is located, any reasonable suspicion of a crime committed against any individual who is a resident of, or is receiving care from, the long term care facility. The SSA is the department that oversees long term care facilities within the state where the facility is located.

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