What is the primary focus of compliance programs in nursing homes?

The primary focus of compliance programs in nursing homes is to prevent fraud, waste, and abuse while promoting ethical practices. These programs are designed to ensure that nursing homes operate within the legal and ethical guidelines established by regulatory authorities. By prioritizing compliance, facilities can protect both their residents and the organization by fostering a culture of integrity, accountability, and adherence to laws and regulations. This includes implementing policies and training staff members on recognizing and reporting unethical behaviors, safeguarding the residents' rights, and ensuring quality of care.

A reduction in staff members does not align with the objectives of compliance programs, which emphasize adequate staffing levels to maintain quality care and compliance with regulations. Increasing payment rates from Medicare, while beneficial for funding, is not the main purpose of compliance programs; rather, care quality and proper billing practices are essential to maintain compliance and receive appropriate reimbursement. Enhancing recreational activities is important for resident well-being, but it falls outside the scope of compliance programs, which specifically address operational integrity and ethical conduct within the organization.