Federal officials have fined Paradigm Healthcare Center of New Haven $63,700 for several lapses in care that included one case of a resident’s wound deteriorating so badly that 50 maggots crawled out of the person’s toe. The resident had the toe amputated in September, and state records show there was no evidence that the resident’s wound had been monitored weekly – as required – between July 17 and Sept. 3. Helen A. Mulligan, a spokeswoman for the Centers for Medicare and Medicaid Services in the Boston regional office, said Friday that CMS imposed the fine of $4,550 a day – or $63,700 – against Paradigm from Oct. 14 to Oct.
The Centers for Medicare and Medicaid Services has backed off a controversial plan that would have changed the way it determines Medicare coverage for advanced prosthetics – a plan critics said would have affected tens of thousands of veterans nationwide. CMS had issued a draft proposal, known as a Local Coverage Determination for Lower Limb Prostheses, that critics feared would limit access to prosthetics for amputees, including veterans. Following a public comment period that ended in August and a review of those comments, CMS on Monday announced it would not finalize the draft policy. “Both CMS and its contractors have heard concerns about access to prostheses for Medicare beneficiaries,” according to a statement provided by CMS spokeswoman Helen Mulligan. CMS said it would convene a work group in 2016 to examine the lower limb prostheses issue.