Senior Living, Long-Term Care, Home Health and Hospice
These providers face the rapid evolution of federal and state healthcare regulations, in addition to the increased cost of healthcare, a more educated and demanding customer base, and an expanding aging demographic.
Our clients include:
- Long-term care facilities
- Continuing care retirement communities
- Assisted living facilities
- Intermediate care facilities for the developmentally disabled
- Group homes for persons with disabilities or traumatic brain injuries
- Home health agencies
- Hospice
We assist providers in the planning, development, startup, expansion, and change of ownership of CCRCs and nursing and assisted-living facilities. Our corporate and real estate law focus also helps clients navigate the acquisition and sale of long-term-care facilities and related organizations.
The firm also has significant experience with non-state government-operated nursing facility arrangements involving intergovernmental transfers (IGT) and the Medicaid upper payment limit (UPL) program.
Expanded Capabilities
In addition to the services described above, the practice provides senior living and long-term care–specific regulatory, licensing, and operational counsel to owners, operators, developers, managers, and investors, including change-of-ownership and multi-property licensing support, survey preparation and response, deficiency citations, immediate jeopardy matters, plans of correction, certificate-of-need strategy, and guidance on admission and residency agreements, resident discharges, management agreements, and risk management arrangements.
The practice also supports regional and multistate organizations with ongoing general counsel services, represents clients in government and compliance investigations involving Medicare and Medicaid participation, licensing enforcement, and False Claims Act matters, and advises on senior living real estate development and financing, including land acquisition, construction contracting, project-based financing, and initial licensure, with coordinated litigation and labor and employment support informed by the regulatory and operational challenges facing senior living, long-term care, home health, and hospice providers.