What is a life care plan?

Usually, claims under the False Claims Act involve billing fraud or financial misconduct, such as paying kickbacks for patient referrals. But the False Claims Act may also provide an avenue for holding institutions and providers liable for grossly inadequate or even abusive patient care.

A South Carolina whistleblower reported a Greenville nursing home that utterly failed its skilled nursing patients, failing to provide needed care and concealing the failure by falsifying patients’ medical records. The conduct could be the subject of a False Claims Act suit because the nursing home was subject to the federal Nursing Home Reform Act. By submitting claims for payment, the nursing home asserted that it met those standards, potentially rendering every such claim false and fraudulent, as those terms are defined by the False Claims Act.

The case filed by the South Carolina whistleblower was consolidated with other cases, which described similar conduct in other nursing homes operated by the same umbrella company. The United States intervened in that consolidated case in September 2025. A judge and jury will ultimately determine the outcome of the case—unless a settlement is reached before trial. But DOJ’s decision to take on the case indicates that the government agrees with the South Carolina whistleblower and the others who filed suit: conduct that puts patients at risk, or even actively harms them, can—at least sometimes—provide the basis for a False Claims Act lawsuit.

If you have inside knowledge of systematic failures in a South Carolina nursing home, you may be able to file a lawsuit under the False Claims Act to stop the conduct. And you could be eligible for a reward if the lawsuit is successful.

Speak with an experienced South Carolina whistleblower attorney now. The experienced whistleblower attorneys at Miller Law Group will listen to your story, analyze whether the conduct you describe violates the False Claims Act, and help you decide how to move forward.