The skilled nursing, assisted living, and long-term care industries face a highly complex regulatory environment, requiring providers to maintain compliance while delivering high-quality patient care. At Goodman Allen Donnelly, our attorneys offer comprehensive legal counsel and defense to nursing homes, assisted living facilities, long-term care providers, and healthcare organizations, ensuring they remain compliant with evolving state and federal regulations while mitigating risk and liability.
Regulatory Compliance & Licensing
We assist skilled nursing facilities (SNFs), assisted living communities, home health providers, and long-term care organizations with:
- Medicare & Medicaid compliance – Ensuring adherence to CMS regulations, billing, and reimbursement requirements
- State licensing & regulatory compliance – Representing facilities in Virginia Department of Health (VDH) and Department of Medical Assistance Services (DMAS) investigations
- OSHA & Infection Control Standards – Advising on compliance with infection control protocols and workplace safety regulations
- Resident Rights & Quality of Care Compliance – Guidance on compliance with Resident Bill of Rights and care standards under federal and state laws
- Certificate of Need (CON) & Facility Expansion Issues – Assisting providers with regulatory approvals for expansions and new services
Reimbursement & Audits
Long-term care providers are frequently audited by Medicare, Medicaid, TRICARE, and commercial insurers. Our attorneys provide legal support for:
- Reimbursement audits & appeals – Responding to audits by CMS, MACs, RACs, UPICs, and DMAS
- Cost reporting compliance – Assisting nursing homes and long-term care facilities with accurate cost reporting and financial compliance
- Medicaid eligibility disputes – Handling denials, overpayments, and appeals related to Medicaid long-term care coverage
- Billing & coding compliance – Ensuring proper documentation and adherence to CPT, HCPCS, and ICD-10 standards
Litigation & Risk Management
We help long-term care providers mitigate legal risks and defend against litigation, including:
- Negligence & malpractice claims – Defending facilities and staff in lawsuits related to patient care
- Resident abuse & neglect allegations – Representation in investigations and regulatory actions
- Employment & staffing disputes – Handling issues related to wage & hour compliance, staff credentialing, and labor law compliance
- False Claims Act & Fraud Allegations – Defending against Medicare/Medicaid fraud and abuse investigations
Operational & Business Support
We also assist long-term care providers with business operations and administrative matters, such as:
- Contract drafting & negotiations – Vendor agreements, employment contracts, and service provider agreements
- Mergers & acquisitions – Assisting in the sale, purchase, or restructuring of skilled nursing and assisted living facilities
- Policy development & training – Helping facilities implement compliance programs and staff education
Why Choose Us?
With deep experience in healthcare law, regulatory compliance, and long-term care litigation, Goodman Allen Donnelly provides legal guidance and strategic defense to skilled nursing, assisted living, and long-term care providers. Whether you need regulatory compliance support, reimbursement assistance, or legal representation in a dispute, our team is here to help.
Contact us today to discuss your legal needs in skilled nursing, assisted living, or long-term care.
