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qe) secs 170 son CONGRESS OF THE UNITED STATES Seepetoeer a Wasiangron, 0.C. 20515 aes June 15, 2018. ‘The Honorable Seema Verma ‘Administeator (Centers for Medicare and Medicaid Services 17500 Security Boulevard Baltimore, MD 71244-1849 Administrator Verma: Its with a great sense of consternation that Lam writing you today regarding an ongoing situation in my district. 1am refering to Wentworth Rehabilitation and Health Care Center which CMS thas determined warrants addtional inspections and oversight, Despite this need for additional ‘oversight and as reported in the Chicago Tribune', te issues at Wentworth do not seem to have abated. ‘These issues appear to meet the textbook definition of fraud and substandard are, which harm ‘ott individual patients and the health care system, at large. Therefore, I am calling on CMS to ‘immediately terminate funding for this facility due to its reckless and eallous disregard forthe Fnealth, welfare, and lives ofits residents tis my belief that we are here today because of CMS" decision to delay enforcement of protections for Medicare and Medicaid beneficiaries in nursing fucilities. As the August 24, 2017 Office of Inspector General report showed, CMS “has inadequate procedures to ensure that incidents of potential abuse or neglect at skilled nursing facilities are identified and reported in accordance with applicable requirements.” Accordingly, request that you provide information for the following question 1 When did CMS first lear of issues at Wentworth? 2. What corrective measures did CMS mandate from Wentworth? When were they ‘completed and how was tis verified” "side Chleago's worst using bome: bug hes, Neues and death. Avalble st ist chicagat ne con nw watehogt-wentwar-ursingshome- vlan 20180403 3. Why does CMS classify Wentworth under the estegory of “Facilites That Have Shown Improvement”? What improvements were made to eat ths classification? 4, What are the criteria used for CMS" rating system? 5. What penalties, ifany, ae issued for noncompliance with CMS mandates and misleading use ofthe rating system? ‘Thank you for your attention to this matter. I look forward to your reply. Sincerely, Member of Congress

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