Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed, and how you can get access to this information. Please review it carefully.

Our Commitment to Your Privacy

Loudoun Skilled Nursing LLC ("LSN," "we," "us," or "our"), under the clinical practice of William C. Wells, MS, RN, CEN, is required by law to maintain the privacy of your protected health information ("PHI"), to provide you with this notice of our legal duties and privacy practices with respect to your PHI, and to notify you in the event of a breach of your unsecured PHI. We are required to abide by the terms of this notice for as long as it remains in effect.

How We May Use and Disclose Your Health Information

The following categories describe the ways we may use and disclose your PHI without your written authorization.

Treatment

We may use and disclose your PHI to provide, coordinate, or manage your nursing care and related services. This includes communicating with your physician, specialists, therapists, pharmacy, home medical equipment suppliers, and other providers involved in your care.

Payment

We may use and disclose your PHI to bill and collect payment for services, including submitting claims to your insurance company, Medicaid managed care organization, workers' compensation carrier, or other payer, and verifying coverage or prior authorization.

Health Care Operations

We may use and disclose your PHI for activities such as quality improvement review, competency evaluation, licensure or accreditation compliance, and other activities necessary to operate and improve our practice.

Other Permitted or Required Disclosures

We may also use or disclose your PHI, without your written authorization, in the following circumstances:

• As required by law — including reporting to the Virginia Department of Health, Office of Licensure and Certification (OLC), as applicable.
• Public health and safety — to public health authorities for disease prevention or control, and to report suspected abuse, neglect, or domestic violence.
• Abuse, neglect, or exploitation of a vulnerable adult — to Virginia Adult Protective Services, as required under Va. Code §63.2-1606.
• Health oversight activities — to government agencies for audits, investigations, or licensure actions, including the OLC.
• Judicial and administrative proceedings — in response to a court order, subpoena, or other lawful process.
• Law enforcement purposes — under limited circumstances required or permitted by law.
• To avert a serious threat to health or safety — to you, another person, or the public.
• Workers' compensation — as authorized by, and to the extent necessary to comply with, workers' compensation laws.
• Coroners, medical examiners, and funeral directors — as necessary to carry out their duties.
• Business associates — to vendors who perform services on our behalf (e.g., billing, electronic health record hosting) under a signed Business Associate Agreement requiring them to protect your information.

Any use or disclosure of your PHI not described in this notice will be made only with your written authorization. You may revoke that authorization in writing at any time, except to the extent we have already relied on it.

Your Rights Regarding Your Health Information

• Right to inspect and copy. You may request to inspect and obtain a copy of your clinical record.
• Right to request amendment. You may ask us to amend your PHI if you believe it is incorrect or incomplete.
• Right to an accounting of disclosures. You may request a list of certain disclosures we have made of your PHI.
• Right to request restrictions. You may ask us to restrict certain uses or disclosures of your PHI; we are not required to agree, except in limited circumstances required by law.
• Right to request confidential communications. You may ask us to communicate with you in a certain way or at a certain location.
• Right to a paper copy of this notice. You may request a paper copy of this notice at any time, even if you agreed to receive it electronically.
• Right to be notified of a breach. We will notify you if a breach of your unsecured PHI occurs.

To exercise any of these rights, contact us using the information below.

Changes to This Notice

We reserve the right to change the terms of this notice and to make the revised notice effective for PHI we already maintain, as well as PHI we receive in the future. A current copy of this notice will always be available on this website and at the point of care.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us using the contact information below, or with the U.S. Department of Health and Human Services, Office for Civil Rights, 200 Independence Avenue SW, Washington, D.C. 20201, or by calling 1-800-368-1019. You will not be retaliated against in any way for filing a complaint.

Contact Us