The Taos News

AG sues Quorum Health Resources over operation of Las Vegas hospital

- By PHAEDRA HAYWOOD

New Mexico Attorney General Hector Balderas has filed a scathing new lawsuit accusing Quorum Health Resources, the owners of Alta Vista Regional Hospital in Las Vegas, N.M., of operating a subpar facility that overcharge­s area residents for limited care in a filthy setting.

Quorum Health Resources currently performs what Holy Cross Medical Center administra­tors describe as a “consulting” role in the management of the Taos hospital.

Balderas’ complaint, which names the hospital and owners Quorum Health Resources as defendants, asks the state District Court in Las Vegas to bar the facility from advertisin­g for services it doesn’t provide and from “engaging in unconscion­able billing practices.”

Alta Vista uses misleading advertisin­g to lure patients in for services it doesn’t have the capacity to provide, engages in “abusive and unconscion­able debt collection practices,” and refers impoverish­ed New Mexicans to collection­s agencies for debt on services not rendered, the lawsuits alleges. It also seeks civil penalties of up to $5,000 for each willful violation of the Unfair Practices Act and legal costs associated with bringing the lawsuit.

According to the suit, the hospital continued to advertise obstetrics and gynecology services through June, even though its only doctor qualified to provide those services died in May. Instead of rehiring for the position, the hospital stopped providing those services altogether, the suit alleges.

“This closure results in there being no proper prenatal or OB care in Northeaste­rn New Mexico,” the suit says.

A recent investigat­ion by the state Department of Health discovered blood on the walls of the

emergency room, trash piled up around the facility, dirt on the floor and a failure to clean for COVID19, according to the complaint.

The hospital also is operating without proper oversight after

2021 “as a direct result of the manner in which [the hospital] continues to operate,” according to the suit.

It cites complaints from patients about exorbitant charges, including one instance in which a bill for 1.5 hours of “nonadmissi­on” medical care exceeded $40,000.

The hospital also has “routinely charged $1,200 for a service where the co-pay should have been $400,” according to the complaint.

Jessica Kendrick, a marketing consultant for Alta Vista, wrote in a Dec. 9 email: “We are disappoint­ed that the Attorney General’s office did not reach out to us to discuss these claims prior to filing.”

She added, “We would share that the New Mexico Department of Health conducted a facility survey in October 2022 where the hospital was found to be in substantia­l compliance. We would also review our advertisin­g and available services, as well as the fact that nearly all of our patients are covered by Medicare, Medicaid or private insurance with establishe­d rates. Additional­ly, to make health care more affordable, the hospital has programs with significan­t discounts to help uninsured individual­s.”

The hospital looks forward to “discussing these matters with the Attorney General and to understand the source of these claims,” Kendrick wrote.

However, Balderas’ suit alleges the hospital has “failed or refused in every instance to respond to communicat­ions” from his office about consumer complaints.

Alta Vista serves about 13,000 people in Las Vegas and about 30,000 more in a larger area.

Health Department spokesman David Morgan confirmed that his agency issues licenses to hospitals in the state and “conducts surveys and investigat­ions at the direction” of the U.S. Centers for Medicare and Medicaid Services. Morgan said those survey reports are publicly available for view through an online portal. However, at 3 p.m. Dec. 9 the portal contained only reports through 2017.

By 6 p.m. the same day, five more years of surveys had been added to the portal. Included among them was a January 2022 report that found multiple deficienci­es at Alta Vista.

The hospital was in violation of infection prevention regulation­s and had not implemente­d practices recommende­d by the U.S. Centers for Disease Control and Prevention for dealing with COVID-19, the report said.

It also noted instances in which the hospital was not following its own bylaws; complaints from staff that some workers were refusing to wear face masks; and lack of cleanlines­s.

During a December 2021 tour of the emergency room, the inspector noted “visible stained floors not swept or mopped, per a staff member due to not having consistent housekeepi­ng for the past six months.”

A bed listed in the computer system as ready for an incoming patient had not been wiped down and did not have a bed sheet, the report said. It cited urine in a utility room sink and dry bloodstain­s on a countertop near where supplies are stored.

A trash can labeled “biohazard” had three empty cafeteria trays stacked on it, the report said, and expired medical supplies — including syringes, needles and gloves — were in a supply area of an operating room.

The portal did not contain the October report cited by Kendrick, but did include a report from late September 2022 that contained only a few findings, including a failure to address “adverse events” in Quality Improvemen­t Council meetings.

When an inspector asked why adverse events had not been tracked, analyzed or discussed in a meeting, a hospital official identified as the “director of quality” stated: “I think ... because it is a confidenti­al system, for a while nobody can know what is going on,” the report said.

 ?? FILE PHOTO ?? New Mexico Attorney General Hector Balderas
FILE PHOTO New Mexico Attorney General Hector Balderas

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