Tackling The Problem Of Nursing Home Shell Companies

Nursing Home

The provision of a safe and nurturing home for the elderly or those who are in some way incapacitated, is the purpose for the development of nursing homes. To ensure that their relatives are offered the best care possible, family members pay large sums of money to nursing homes. In return the residents are offered good meals, somewhere comfortable to sleep, and the opportunity to engage in different activities each day. This is not the situation in all nursing homes however, as some residents experience abuse, whether verbal or physical by staffers or aides, and sometimes they are not allowed to move freely and their money or personal possessions are stolen. The unforgivable acts are sometimes even worse, and this is merely a generalization of the reality. Since the homes are responsible for any acts by their staffers, or any failure to act, they are subject to litigation. The principle used in this case is called “respondeat superior”, where the home can be faced with lawsuits, as a result of their being deemed to have displayed negligence in the hiring of the wrongdoer. The nursing homes have avoided paying however, by employing unique strategies, and this has been evident in several states, such as New York, otherwise known as NYC.

The operators of nursing homes in New York City, according to the explanation on a website which is committed to long-term care and assisted living, in essence use their legal entity status as protection. A term which is commonly used in the media is “shell corporation”. A  shell corporation exists when there is the creation of a legal entity, for the sole purpose of the execution of transactions, while the entity itself does not function as a real company with significant assets. This allows for companies to avoid taxes or being publicly connected with particular transactions. A similar strategy has been followed by nursing homes in NYC, where they set up shell entities, and therefore are able to avoid some taxes, and keep these shells separate from any assets. Since they appear to be asset-less entities, they are considered to not have the ability to pay any damages that may result from a judgment or settlement.  By utilizing this strategy, they are able to avoid suits, and this also makes it extremely difficult for them to be overseen by federal and state agencies, as ownership is attached to a shell entity.


Federal and State Fixes

To tackle nursing homes’ “duck and cover”, there are laws being developed at the federal level in some states. Included in the Patient Protection and Affordable Care Act, which is also referred to as “Obamacare“, there is the Nursing Home Transparency and Improvement Act. This Act provides for the improvement of the quality of care, received by residents in these nursing homes, that receive federal funding through both the Medicare and Medicaid programs. Government and state agencies will also be able, under the Act  to oversee the homes more effectively. The homes that receive federal dollars, will also be required to disclose any information, about the ownership interests of the nursing home operators as well as details on the managers of the operations of the home.  This will address the issue of shell entities in particular. Some of the additional information that will be required includes the finances, overall governance and the operations of the nursing homes. In Connecticut, they have endeavored to encourage transparency, by introducing a new bill in the legislature, that would require companies performing contract work, such as nursing homes that provide rehabilitation services,  to report on their finances.

If the reporting on financing and operations relationships by operators of the homes is strongly enforced, then the apparent tangled web of entities, will be removed, and some degree of transparency will be achieved. Both the government and the public will better understand what the liabilities of these entities are. This will assist in the monitoring of these entities, and the development of measures to alleviate this problem.

Top Four Physical Therapy Centers In New York

Therapy Session

Considering the fact that several physiotherapy clinics have set up shops in New York (and more are setting up shops everyday) and all of them claim to be the best in the business, it can get confusing if you are trying to hire the services of a clinic. It is not a simple task to find a good physiotherapy clinic in such a big city but in any case, you want to have what is best for you. You need a clinic that tailors its services to suit your problems, provides experienced and skilled physiotherapists, provides variety of services, offers convenient and flexible timings. So, it may be relatively safer to sign up with a clinic which has been in the business for a long time (at least ten years) and has a proven record.

Here is a list of four reputable physiotherapy clinics in New York.

New York Sports Med and Conditioning Center

 The clinic, which opened its doors to patients in 2006 and has been providing excellent services, is known for the variety of services it offers. Electromyography, occupational and hand therapies, trigger-point injections, physical and sports medicine, myofascial release, back pain, joint fluid replacement, cold laser therapy, capsular contracture, aging athlete care, personal training programs and post-surgical rehabilitation — almost everything related to therapy is available under one roof. The clinic offers services from some of the top therapists, nurses and doctors. While it employs some top nurses, doctors, and therapists, many eminent physiotherapists and doctors regularly visit the clinic. Each patient is offered personalized attention and therapy schedule. No wonder that the clinic boasts of a highly satisfied clientele. The clinic has offices in West Side, Midtown and Union Square. It accepts insurance policies from almost all insurance providers.

Sports Physical Therapy of New York

 One of the most popular clinics in the city of New York specializes in sports therapy and not surprisingly, athletes constitute a big chunk of its clientele pie. However, it also provides quality services in other physiotherapy areas such as back pain, aging athlete care, joint fluid replacement, capsular contracture, cold laser therapy and personal training programs. The clinic is unique mainly because even after it discharges a patient; it regularly follows up with the patient to find out the progress report. From the perspective of a patient, that is a heart-warming gesture. This illustrated rehabilitation center is engaged with several other heartening initiatives such as blood donation camps, free medical donation and medical camps. The clinic has, since 2005, allied with several reputable organizations such as American Cancer Society, American Heart Association, American Red Cross, Arthritis Foundation, Little Flower Children’s Agency, Brooklyn and Lymphoma Research Foundation. The clinic has, other than its New York office, 20 more offices across the state.

Physical Therapy

Manhattan Pain Center

 The pain Center is headed by Dr. Joseph Simon who has more than 10 years of experience in conditioning and therapy. The unique selling proposition of the clinic is that all its therapists and doctors are trained in Redcord’s Neuromuscular Activation Therapy and in functional sports medicine and sports conditioning. If you did not know already, Redcord is designed to work on specific body areas and gradually increase intensity as the rehabilitation progresses. The therapy program can easily adjust to variable strength levels. So, the team at the clinic can effectively treat such problems as rotator cuff injuries, sciatica, neck pain, ITB syndrome, ankle sprains and knee pain. The clinic is popularly known as Manhattan Center of Therapy. Just like other reputable clinics, the Manhattan clinic accepts insurance policies from all leading insurance providers.

ActiveCare Physical Therapy

 If you are looking for a physiotherapy care center in midtown NYC, this clinic could be the one. The conditioning and training center is unique in the sense that it attempts to provide holistic therapy. While treating a patient, a therapist takes care of the joints, kinetic chain movement, and power coming from the core of the body of the patient. The therapist chalks out a treatment plan based on the lifestyle and diet of the patient. The clinic mainly uses manual therapy, Myofascial Release Techniques and Pilates. The Pilates is considered one of the better holistic treatments, especially for rehabilitation.

While you consider signing up for the rehabilitation and therapy centers described above, you need to understand how you should be identifying a clinic in NYC. The sheer number of clinics in NYC is enough to confuse and overwhelm anyone but you should focus on a clinic’s record, uniqueness and see whether it is suitable for you.

How Drug And Alcohol Rehabilitation Centers Benefit Addicts And Alcoholics

Drug Addict

Many people make the mistake of believing all an addict or alcoholic needs to do is stop using the substance and he will be fine. Nothing could be further from the truth. There are many reasons a successful recovery depends on rehab.

First, a rehabilitation center that offers assisted detox is the best place for a person to stop using drugs or alcohol. Detoxification is a process which no drug addict or alcoholic should attempt alone. During the early stages of detoxification, he will have supervision, comfort, and support. He will be assisted through withdrawal, receive medical help if he needs it, and not be at risk of relapsing.

Second, the early days of sobriety present a special risk of drinking or using drugs. Rehab can be seen as a safe place where addicts and alcoholics do not have this option. The person will not be tempted by friends who drink or use drugs, or environments where drug and alcohol use are common.

However, there are many more benefits to rehab than helping a person stay away from harmful substances. As simply giving up mind-altering substances will not create significant changes in his life, rehab presents many opportunities for him to make changes to improve his life.

One benefit is counseling. The person who is addicted may have forgotten how to function appropriately. He needs assistance from an addiction counselor so he can learn to live without drugs or alcohol. In rehab, he can have both individual and group counseling sessions. Counseling will help him understand himself, understand his addiction, and move on to a better life.

Counseling can also include the addict’s or alcoholic’s family. As families often experience a considerable amount of stress and problems from their loved one’s addiction, family counseling is an opportunity to rebuild families. He and his family can learn to understand each other, make changes in unhealthy patterns, and develop better communication skills. In many cases, even broken families can be reunited when the addicted member goes through a rehabilitation program.

Another benefit is the ability to regain his health. Substance abuse can take quite a toll on a person’s health. When he is in rehab, his health problems will be treated. Whether he has developed a chronic health problem or something minor, rehab is his best chance for a healthier life.


Mental health issues will be addressed, too. While some addicts and alcoholics have mental health concerns due to alcohol or drug abuse, others suffer from mental illnesses. When he is in a rehabilitation center, he will receive professional attention and appropriate treatment.

Alcoholics and drug addicts in New York City can learn how to enjoy life when they are in rehabilitation center. Part of this involves learning how to have fun without mind-altering substances. As rehabilitation centers offer a variety of activities, it is his chance to try new activities when he is clean and sober.

Interacting with others is another part of enjoying life. If the people in his life today consist of other alcoholics and addicts, and individuals who do not understand what he is going through, he will find a different category of people in the rehabilitation center. When he has the opportunity to meet others who want to stay clean and sober, it can reinforce his own desire to avoid alcohol and drugs in the future.

When individuals are newly clean or sober, they often lack basic life skills and healthy routines. From eating a healthy diet and sleeping at night to personal grooming and care of his home, he can relearn the skills that he needs in his life.

A rehabilitation program can also assist alcoholics and addicts in planning for their futures. When individuals are actively drinking or using drugs, they often do not consider the weeks, months, and years ahead. His rehabilitation program can help him set reasonable goals for his future, and develop the skills and motivation needed to achieve his goals.

While alcoholics and drug addicts have much in common with each other, each is a unique individual. Rehabilitation centers take this into consideration. Whether you are experiencing problems from alcohol or drug abuse, or you have learned a loved one is addicted, a rehabilitation center is the first step to a better life.

Alcoholism and drug addiction do not need to ruin lives. Substance abuse does not have to mean the end of families, careers, health, and futures. Unlike in the past, there is somewhere you can turn to for help. You can call a rehab and ask for assistance.

A drug and alcohol rehabilitation center can be the end of substance abuse. When you are free from alcohol and drugs, you can have hope and a future. You will find you are no longer alone, and the best of your life is ahead.