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The Casa Real nursing home in Santa Fe has at atomic briefly adapted assiduous quality-of-care problems and can resume announcement Medicare and Medicaid for anew accepted association covered by the allowance programs for the aged and poor, a federal bureau has found.

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The Centers for Medicare and Medicaid Services, in a letter Thursday to Casa Real, said the nursing home can bill for admissions that occurred afterwards Sept. 10.

For added than two months, Casa Real had been barred from charging Medicare or Medicaid for new association afterwards the Centers for Medicare and Medicaid Services begin the nursing home wasn’t in abundant acquiescence with federal affliction standards.

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The federal bureau additionally threatened to cut off all Medicare and Medicaid payments to Casa Real if it didn’t appear into abundant acquiescence with affliction rules by Thursday. The activity would acquire been a cogent draft to breadth association gluttonous nursing home affliction because Casa Real is one of alone two homes in Santa Fe that acquire Medicare and Medicaid patients.

In its letter to Casa Real, the Centers for Medicare and Medicaid Services said an analysis of the nursing home in August — the fourth this year — begin continuing affliction problems but that the deficiencies had been adapted as of Sept. 11.

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The August analysis begin association weren’t accepting medications as directed by their physicians and that the nursing home wasn’t accomplishing abundant to ensure that association didn’t accept accidental drugs, including consciousness-expanding medications.

The beforehand inspections this year angry up a continued account of problems, including medication errors, asleep aliment and drugs on shelves, unreported citizen injuries and assault, poor affliction of bed sores, nursing understaffing and bare safeguards adjoin the advance of alarming infections.

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Casa Real’s operator, Preferred Affliction Partners Management Group of Plano, Texas, has beneath again to animadversion on analysis accusation or the accomplishments adjoin the nursing home by the Centers for Medicare and Medicaid Services.

The federal bureau in May appointed Casa Real as a “special focus facility” because of its poor almanac of acknowledging with affliction standards, and it said the nursing home would be accountable to added common inspections. The appellation is accustomed to the nation’s poorest-performing nursing homes and is meant to abode the “yo-yo” botheration of accessories commonly falling in and out of acquiescence with affliction standards.

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The New Mexican appear in July that Casa Real and its sister facility, the Santa Fe Affliction Center, acquire accustomed the federal government’s everyman appraisement for nursing homes — one out of bristles stars — and acquire been cited again by inspectors for austere deficiencies in citizen affliction over the accomplished 15 years.

The nursing homes additionally acquire faced hundreds of complaints from patients and several wrongful-death lawsuits in contempo years.

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The accompaniment Attorney General’s Office is suing Preferred Care, alleging it has defrauded Medicaid by accepting bereft agents to accommodated the needs of association at its Santa Fe nursing homes, as able-bodied as its accessories in bristles added New Mexico communities. Preferred Affliction has denied the allegations.

A woman who said she was administrator of nursing at Casa Real from May to August has declared that she was accursed in allotment because she complained to superiors that a administrator at the nursing home had artificial accommodating annal in an attack to appearance the ability was in acquiescence with affliction standards ambidextrous with ecology of medication furnishings on residents.

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Preferred Affliction additionally has beneath to animadversion on that allegation.

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