Ken advises providers on legal issues arising in hospitals, skilled nursing facilities, assisted living communities, hospice, home health and other spheres of health care. He also represents ancillary providers (pharmacy, DME, therapy, etc.). He advises on Certificate of Need, Medicare/Medicaid enrollment and licensure issues, appeals of quality of care issues, and transactional matters. Ken is a frequent national lecturer and author of industry manuals, national trade journal magazine articles and similar training tools and is primary author and editor of Poyner Spruill’s international award winning newsletter, Shorts on Long Term Care.
Prior to joining Poyner Spruill, Ken was the Senior Director of Legal Services and Facility Operations of the American Health Care Association from 1993 to 1997. Ken also served as the North Carolina Health Care Facilities Associations’ General Counsel from 1991 to 1993.
Areas of Focus
- Advised skilled nursing facilities, assisted living communities, and related long term care vendors on licensure, certification, survey, fraud and abuse, operations, risk management, certificate of need and business issues.
- Served as Senior Counsel to the national long term care trade association in Washington, D.C., where he was responsible for administering the Association’s legal assistance fund litigation, and overseeing all regulatory, facility operations, and clinical staff of the association.
- Served as General Counsel to ALFA, the national assisted living trade association in Washington, D.C.
- Served as regulatory and policy counsel for numerous sales and acquisitions of skilled nursing facilities and assisted living communities in multiple states.
- Represented national assisted living and skilled nursing facility provider in high profile licensure revocation action of multiple facilities in Washington State resulting in a favorable settlement and avoidance of involuntary de-licensure and permanent exclusion of the provider from the state.
- Negotiated a national exclusion from music licensing fee requirements for assisted living communities across the U.S.
- Served as the long term care industry representative on the first Negotiated Rulemaking Committee convened by the U.S. Department of Health and Human Services to create safe harbors from the criminal provisions of the federal Anti-Kickback Statute.
- Negotiated the first global settlement of multiple facility licensure and certification survey citations in California with the state Department of Health Services and the California Attorney General.
- Assisted California provider in defending one of the earliest quality of care fraud actions, including negotiating with the federal Office of the Inspector General to develop the provider’s Corporate Compliance Agreement and related settlement documents.
- Represented state and national trade associations, and individual providers, on various issues impacting long term care providers, including negotiations with and representation before OSHA, the federal Office of the Inspector General, the U.S. Department of Health and Human Services’ Center for Medicaid and Medicare Services, and state licensure and survey agencies.
- Developed comprehensive advance directive policy for North Carolina long term care providers after enactment of the Patient Self-Determination Act.
- Worked with state trade association, providers and national accrediting organizations to develop assisted living accreditation standards.
Campbell University, JD, 1984, cum laude
University of North Carolina, BA, 1979+ CLOSE
Recognized by North Carolina Lawyers Weekly as a 2016 North Carolina Leaders in the Law Honoree
Recipient, North Carolina Bar Association’s 2016 Health Law Distinguished Service Award, May 2016
Recognized as a Leading Attorney by Chambers USA: America’s Leading Lawyers for Business (Healthcare) 2014 – 2018
Recognized in The Best Lawyers in America® (Health Care), 2009-2013, 2015-2018
J. F. Richardson Foundation National Volunteer of the Year, 2009
Ranked among Super Lawyers magazine’s North Carolina “Super Lawyers,” (Health Care) 2013-2019+ CLOSE
+Professional & Community Activities
North Carolina Society of Health Care Attorneys, Board Member, 2006 – 2011; President, 2009; Chair, Innovations Committee, 2010; Co-Chair, Law School Grants Committee, 2010-2012
American Health Care Association, Member of National Legal Committee, 2008-present
N.C. Medical Society Ethical and Judicial Affairs Committee, Legal Consultant and Member, 2008 – present
North Carolina Bar Association, Health Law Council, 2010-2011
American Health Lawyers Association
North Carolina Autism Society, Past Member of the Board of Directors, Past Treasurer
Future Care Foundation, Board Member, 2009 – present
Member, National Legal Committee, American Health Care Association 2010
Co-Author, Nursing Facility-Hospice Contracts Under Medicare Conditions of Participation – One of National Law Review’s Most Read Articles for 2009
North Carolina Bar Association, Advance Directives Project, 2006-present+ CLOSE