Failure to Issue SNF ABN for Non-Covered Services
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to provide a Skilled Nursing Facility Advance Beneficiary Notice (SNF ABN) to a resident who transitioned from Medicare-covered skilled care to private pay after choosing to discontinue therapy services. Documentation showed that the resident was informed on her last covered day that her payer source would change to private pay, but there was no record of an SNF ABN being issued to notify her of potential financial liability for non-covered services. The Business Office Manager confirmed that the resident should have received an ABN but did not, and there was no documentation indicating the resident was informed of the private pay costs.