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1. The revocation of the designation of a long-term care institution granted to the Plaintiff on April 9, 2014 is revoked.
2. The plaintiff's remainder.
Reasons
1. Details of the disposition;
A. The Plaintiff is a social welfare foundation that operates a long-term care institution in the name of Changwon-si, Changwon-si, M&C (hereinafter “instant 1 medical care institution”), D (hereinafter “instant 2 medical care institution,” and the instant 1 medical care institution collectively referred to as “instant medical care institution”).
이 사건 제1 요양기관 이 사건 제2 요양기관 위반사항 ▣ 인력 배치기준 위반 - 물리치료사 E은 2012. 7.경, 2012. 9.경~2012. 10.경, 2013. 4.경 실제 근무시간 160시간 미만임. ▣ 인력 배치기준 위반 - 물리치료사 E은 2013. 6.경~2013. 11.경 실제 근무시간 160시간 미만임. - 요양보호사 F는 2012. 4.경~2013. 7.경까지 위생업무만 전담하고, 요양보호사 고유업무를 수행하지 아니함. ▣ 인력 추가배치 가산기준 위반 - 2013. 4.경 간호사 추가배치에 따른 가산율 3%를 적용받았으나, 물리치료사 근무시간 160시간 미만으로 감액 조정되어, 가산율 3%를 적용하지 아니함. ▣ 입ㆍ퇴소 외박수가 기준 위반 - 수급자 G은 2013. 5. 25.~2013. 6. 21. 의료기관에 입원하였는데, 외박 1회당 10일 이내 산정기준 위반하여 2013. 6. 4.~2013. 6. 10. 동안의 외박수가 청구함. 부당청구 16,111,222원(부당비율 0.74%) 56,964,241원(부당비율 5.89%)
B. From January 20, 2014 to January 23, 2014, the Defendant conducted a field investigation on the Plaintiff’s long-term care institution through the National Health Insurance Corporation’s work support.
As a result of the investigation, the Defendant discovered that the instant medical care institution operated by the Plaintiff violated the standards for assignment of human resources, violation of the standards for additional placement of human resources, and violation of the standards for entry and departure from the hospital.
C. On February 4, 2014 and February 5, 2014, the Defendant notified the Plaintiff of the disposal prior notice and the holding of a hearing with respect to the instant medical care institution, and on February 17, 2014, the procedures for the hearing and presentation of opinions.