NHC Healthcare – Burlington, LLC

Burlington, NC 2022--2024 Assisted Living / Long-Term Care
OIG Unlicensed Provider Billing False Claims
Penalty
$31,726

Outcome

NHC Healthcare Burlington self-disclosed and settled for $31,726.40 for submitting claims for services provided by an unlicensed practical nurse; penalty calculated as full salary and benefits during unlicensed period.

Details

NHC Healthcare – Burlington (NC) — Unlicensed Practical Nurse Billing

Outcome: Self-disclosed and settled for $31,726.40 for submitting claims for nursing home services provided by an unlicensed practical nurse; penalty based on full salary and benefits paid during the unlicensed period.

NHC Healthcare – Burlington, LLC, a healthcare facility in Burlington, North Carolina, submitted claims to federal healthcare programs for services provided by a practical nurse who lacked a valid license at the time services were rendered. The self-disclosure on July 28, 2025 triggered a Civil Monetary Penalties Law enforcement action.

Damages were calculated using the standard OIG self-disclosure methodology: single damages equal to the full salary and benefits paid to the unlicensed nurse during the period they worked without a valid license.

Primary Source: NHC Healthcare – Burlington Agreed to Pay $31,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Provided by an Unlicensed Individual

How Crucible Prevents This

Crucible's nursing-license verification enforcement hooks would catch LPN license lapses; automated monthly verification against state board of nursing records for all licensed practical nurses on staff would prevent unlicensed LPN services from generating billable claims.

Source: NHC Healthcare – Burlington Agreed to Pay $31,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Provided by an Unlicensed Individual

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