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California State Auditor Logo COMMITMENT • INTEGRITY • LEADERSHIP

Skilled Nursing Facilities
Absent Effective State Oversight, Substandard Quality of Care Has Continued

Report Number: 2017-109

Selected Abbreviations Used in This Report

Brius We use the term Brius in this report to refer to the nursing facilities directly or indirectly and wholly or partially owned by the individual owners of Brius Management Company.
CMS U.S. Centers for Medicare and Medicaid Services
company We use the term company in this report to refer to the three large private operators of nursing facilities that we reviewed.
cost reports Annual facility cost reports that nursing facilities file with Health Planning
Health Care Services Department of Health Care Services
Health Planning Office of Statewide Health Planning and Development
Longwood Longwood Management Corporation
Plum Plum Healthcare Group
Public Health California Department of Public Health
quality program Quality Accountability and Supplemental Payment Program
related parties Businesses that nursing facility owners or their immediate family members own or control that provide goods or services to the nursing facilities they own.

Descriptions of Year Designations Used in This Report

fiscal year Refers to the state's fiscal year, which begins on July 1 and ends the following June 30.
rate year Refers to the Medi-Cal rate year, which begins on August 1 and ends the following July 31.
facility fiscal year Refers to each individual facility's fiscal year as reported to Health Planning and varies from facility to facility.