A survey conducted by the California Department of Pubic Health (CDPH) late last year found numerous deficiencies with a skilled nursing facility (SNF), including an allegation of abuse. Based on CDPH’s findings, The Centers for Medicare & Medicaid Services (CMS) imposed a civil monetary penalty and a denial of payment for new admissions on the SNF. Nelson Hardiman was brought in at the appeals stage and was able to negotiate a favorable settlement for our SNF client. The settlement included a 50% reduction of the civil penalty, amended the survey report to reduce the scope and severity of the violations, and included a complete rescission of the denial of payment on new admissions, which would have resulted in severe financial loss for the facility.