Disclosure Info

1. Required Website Disclosures:
TopicMaterials/Information/Documents to be PostedReference
Compliance and Ethics Program – Lines of CommunicationInformation concerning the compliance program, including its standards of conduct.


Recommend this information include, at a minimum:
(1) Code of Conduct;
(2) name and contact information of Compliance Officer/personnel;
(3) the methods of reporting compliance issues, including anonymous method(s); and
(4) policy of non-intimidation/non-retaliation or comparable policy or statement.
18 NYCRR §521-1.4 (e)(5)
NH RatesMaximum rates to be charged for residency and services


Such posting on a publicly available website shall be updated on an annual basis no later than April first of each year.


Such posting shall detail rates for each non-governmental payer source.
PHL 2829 (1)

See also DAL-NH-22-15:
https://www.health.ny.gov/professionals/nursing_home_administrator/dal/docs/dal_nh_22-15.pdf
OwnershipList of all owners on a website maintained by the facility.


List must also be submitted to DOH* for posting on DOH’s website and must be updated within thirty (30) days of any change or transaction affecting ownership.


*See below for instructions for submitting to DOH.
PHL 2829 (2)(a)
Landlord of PremisesName and business address of any landlord of the facility’s premisesPHL 2829 (b)
Existing ContractsSummary of all Contracts* for the provision of services for which Facility pays with Medicare/Medicaid monies


*See below for instructions to submit to DOH.
PHL 2829 (c)
New ContractsOther Agreements* entered into by the Facility within thirty (30) days of execution of agreement


*See below for instructions to submit to DOH.
PHL 2829 (c)
CMS Star Ratings1. Overall CMS rating and
2. Domain-specific ratings for health inspections, staffing and quality measures on the homepage of any website maintained by such facility and on any website or webpage relating to such facility maintained by an entity which owns or operates such facility.
PHL 2808-e (2)



2. Instructions for Submitting Information to DOH Regarding Ownership and Contracts:
    • This is submitted via HERDS.

 

 

    • The Nursing Home PHL 2803x 3.1 FAMILCON and PHL2803x 3.6 CONTRACTINFO are required to be completed. Each Nursing Home operator is required to complete the PHL 2803–x disclosures for common and familial relationships and the notify the Department of the nursing home entering a new letter of intent or contractual agreement for the sale of property or services provided to the Nursing Home. Operators may not delegate this task. This document provides instructions for accessing and completing the surveys using the Home and Community Based Care Surveillance (HCBC) system. The system is also known as the Health Electronic Response DataSystem (HERDS).



  • Reports sent by any other means will not be accepted.

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