SETTLEMENT AND SYSTEMS IMPROVEMENT AGREEMENTSettlement and Systems Improvement Agreement • October 12th, 2022
This Settlement Agreement and Systems Improvement Agreement (the “Agreement”) is made between (i) the City and County of San Francisco (“City”), acting by and through its Department of Public Health, which has administrative jurisdiction over and operates the Laguna Honda Hospital & Rehabilitation Center D/P SNF (“LHH”), (ii) the California Department of Public Health (“CDPH”), and (iii) the United States Department of Health & Human Services (“DHHS”), Centers for Medicare & Medicaid Services (“CMS”) (collectively, the “Parties”). This Agreement is being executed and implemented: (1) to temporarily continue federal funding for LHH while LHH follows a revised closure plan; (2) to ensure LHH’s substantial compliance with the statutory requirements in sections 1819 and 1919 of the Social Security Act (the “Act”) (42
