West Bay Residential Services, Inc.
Outcome
West Bay Residential Services settled for $325,910 and received affirmative exclusions for employing two excluded individuals — a direct support professional and a group home manager — who provided billable services to federal healthcare programs.
Details
West Bay Residential Services (Warwick, RI) — Two Excluded Employees
Outcome: Settled for $325,910 and received affirmative OIG exclusions for employing two OIG-excluded individuals — a direct support professional and a group home manager — whose services were billed to federal healthcare programs.
West Bay Residential Services, Inc., a residential care provider in Warwick, Rhode Island, employed two individuals excluded from federal healthcare program participation: a direct support professional and a group home manager. Both provided items or services that were billed to federal healthcare programs while in their excluded status.
The simultaneous employment of two excluded individuals at different levels — direct care and management — suggests a systemic failure in hiring and background screening processes rather than an isolated oversight. The OIG imposed both financial penalties ($325,910) and affirmative exclusions as part of the June 1, 2022 enforcement action.
Primary Source: West Bay Residential Services Agreed to Pay $325,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing Excluded Individuals
How Crucible Prevents This
Crucible's OIG exclusion screening hooks would simultaneously catch both excluded employees — a direct support professional and a group home manager; automated monthly LEIE screening applied to all levels of staff (not just clinical) would prevent this dual violation.
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