Blog
Notes on CMS enforcement data, program integrity, and healthcare transparency.
Enforcement · April 7, 2026 · 8 min
James Burkhart was convicted of a $19.4 million fraud scheme and his sentence was commuted by President Biden. His name has been scrubbed from CMS records. But American Senior Communities still operates 89 Indiana nursing homes — with a 2.0 staffing star average, $86.8 million in related-party costs, and one facility reporting zero bedside RN hours on 67% of days.
Enforcement · April 4, 2026 · 10 min
CMS ownership records show that Skyline Healthcare’s former CFO is currently listed in an operational management role at a New York nursing home, and Joseph Schwartz’s son holds a 10% ownership stake at a Miami Beach facility. Both findings connect to a network that also appears across former Skyline facilities in Florida.
Enforcement · April 1, 2026 · 14 min
Joseph Schwartz was convicted, pardoned, and barred from CMS ownership. But all 56 of his nursing homes are still operating — under 11 different successor chains, with $1.33 million in current penalties, $46.4 million in related-party costs, and 25 facilities reporting antipsychotic prescribing rates above 20%. Here is where each one went, with links to every facility page.
Policy · March 30, 2026 · 8 min
The full text of the public comment I submitted to CMS on the CRUSH RFI (Docket CMS-2026-0826) on March 30, 2026 — covering zero-RN days, antipsychotic prescribing, related-party transactions, and ownership transparency across all 14,713 Medicare-certified SNFs.
Enforcement · March 28, 2026 · 12 min
Between January and April 2026, the federal government launched a fraud task force, published a sweeping RFI on healthcare enforcement, suspended hundreds of providers, and arrested hospice operators in two major busts — while pardoning convicted nursing home operators. Here is the full timeline, sourced from federal records.
AI & Healthcare · March 7, 2026 · 7 min
Two Harvard courses on agentic AI in healthcare taught me how to think about AI governance. They also convinced me the foundational problem is not AI. It is data transparency.
About · February 24, 2026 · 5 min
Families kept asking me if a nursing home was any good. I never had a good answer. The data existed — it was just impossible to find. So I built a tool that puts it all in one place.