But if the hospice is content to take $203/day, they aren't required to do anything. It's just free money for whatever the operator feels like doing for a dying elderly person, including doing nothing at all.
As Appelbaum told Maureen Tkacik for her excellent writeup in The American Prospect: "Why anybody commits fraud is a mystery to me, because you can make so much money playing within the guidelines the way the payment scheme operates."