A large publicly funded nursing facility in San Francisco. It plays a crucial role in the health care safety net, primarily serving socioeconomically disadvantaged residents. The facility accounts for more than a third of all skilled nursing beds in the city, with Medicaid and Medicare funding nearly all resident care.
In April 2022, the facility faced a severe crisis when it was decertified for failing to meet Medicare and Medicaid conditions of participation, which threatened its closure and the displacement of nearly 700 residents.
During a mock survey commissioned shortly after decertification, the facility was cited for 101 regulatory deficiencies, which required immediate and comprehensive resolution to avoid jeopardizing its path to recertification.
The hospital also struggled with leadership, operational, and cultural challenges, including unclear initiative ownership, unreliable processes, and lack of accountability.
Moss Adams was enlisted to assist in executing the requirements of a settlement agreement for recertification. Moss Adams implemented their strategy acceleration framework, which involved embedding with facility leaders and staff to drive rapid performance improvement. Key actions included:
With these and other key interventions, within a one-year span the facility:
As a direct result of the organization-wide improvements, the facility was recertified for Medicaid in August 2023 with 95% of funding restored. It was fully recertified in both Medicaid and Medicare by June 2024. The facility was able to secure its long-term future, aiming to not only maintain its gains, but to excel as a leading skilled nursing facility.
For more information on how our strategy acceleration and organizational change management framework can help your organization overcome significant challenges, please contact your Moss Adams professional.