Federal CMPs for Late or Incomplete Incident Reporting and Investigation

$20,000-$200,000 per CMS enforcement cycle plus additional OIG audit findings; VA contract termination risk if timelines missed; Medicare/Medicaid decertification for dual-certified facilities • $20,000-$200,000 per CMS enforcement cycle; additional exposure from hospice agency liability if residential facility is blamed for coordination gaps; CMS decertification of residential care unit if hospice incidents not properly reported • $20,000-$200,000 per CMS enforcement cycle; additional financial loss from post-acute care referral network sanctioning if receiving facilities report coordination gaps; increased liability if incident documentation missing at discharge

Email chains to state agencies, manual Excel tracking of 2-hour/24-hour deadlines, paper incident reports filed in different locations, reliance on memory/phone calls to confirm state notification • Email chains, paper incident logs, WhatsApp group messages, manual spreadsheets tracking 2-hour/24-hour/5-day deadlines • Email coordination, Word documents with interview summaries, paper employee files, manual tracking of investigation deadlines, ad-hoc phone calls and memos