Compliance Program

The Compliance Program has been developed to maintain and enforce a system of accountability with Compliance Standards, Facility Policy and Procedures, and all applicable laws and regulations in order to prevent fraud, waste or abuse in the Medicaid and Medicare programs.

Code of Conduct

We are committed to: (a) providing quality and clinically appropriate care to our residents; (b) conducting ourselves in the most professional, legal, and ethical manner with regard to all healthcare and business practices; and (c) complying with applicable Federal and State laws and regulations that govern the healthcare services that we provide.

Compliance Officer

The compliance officer for each facility is the facility administrator.

Complaint Reporting Requirements

All employees are encouraged and have a responsibility to assist in combating fraud, waste and abuse in Medicare and Medicaid programs. Reporting of fraud, waste and mismanagement shall be done without retribution and retaliation of the individual reporting or filing a complaint.

All employees, managers and contracted workers can report any complaints of abuse or fraud anonymously.

Reporting Procedure:

  1. Each employee shall be required to follow the chain of command when reporting any allegation/s involving suspected fraud, waste or abuse in Medicare and Medicaid programs:

    1. The Facility's Compliance Officer shall be the first person to contact and report any allegations of fraud, abuse or waste.
    2. The second person in the chain of command shall be the Director of Nurses at the Facility.
    3. The third contact in the chain of command shall be the Hotline Complaint Number which is posted in the Facility and on this website.

  2. Each employee has the right to REMAIN ANONYMOUS when reporting any suspected allegations of fraud, waste or abuse to any Medicare and Medicaid programs. The reporting process can be either written or verbal.
  3. Employees may utilize the Complaint Hotline to the Corporate Office to report, and file, any allegation/s of Medicare and Medicaid fraud, abuse or waste. The caller has the right to remain ANONYMOUS if desired.
  4. Employees may also initiate any complaint of fraud, abuse or waste of Medicare and Medicaid by contacting the appropriate State and Federal Government Agencies.
  5. To assist and enable the investigation of any and all allegations, certain elements or requirements are needed for a thorough, complete investigation, including the following:

    1. Type of Complaint

      • Medicare
      • Medicaid
      • Other

    2. Subject/Person/Department that allegation is against

      • Name of Subject/Person/Department
      • Title of Subject/Person (if applicable)

    3. Name of person/individual reporting

      • Name
      • Address
      • Phone number for contact
      • May remain ANONYMOUS

    4. Brief summary relating to the allegation(s)

      • Who
      • What
      • When
      • Where
      • How


  6. The Compliance Officer and all others that receive any reports of fraud, abuse or waste regarding Medicare or Medicaid, may keep the names of any managers and staff members confidential who report information when appropriate.

Compliance Hotline

The Compliance Hotline has been established as confidential means of reporting for employees, family members, and residents. Callers to the Compliance Hotline can choose to remain anonymous to report any complaints of Fraud, Abuse, Neglect, Waste and Mismanagement. There are two separate phone numbers for the Compliance Hotline. One phone number is for Facility residents and family members and one phone number is for the Employees. The Phone Numbers to the Compliance Hotline are posted in the facility as well as this website.

Callers who wish to remain anonymous shall be provided with an identification number.

Proper disciplinary action, including possible dismissal, shall be taken against anyone who retaliates against a person who reports a legitimate concern to the Hotline.

RNRC COMPLIANCE PROGRAM, INC., HOTLINE COMPLAINT TELEPHONE NUMBER:

Residents and Family please call - 1-877-572-5674 (mailbox 7302)
Employees please call - 1-866-572-5694 (mailbox 7301)

Anti-Retaliation

Neither Your Employer nor the Facility will retaliate against any Facility or other employee who reports suspected misconduct in conformity with this Compliance Program. Retaliation of an individual who has reported a complaint or concern is not only a violation of the Compliance Program, but it is also against applicable law.