Failure to Provide Medicare Non-Coverage Notification
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 required notification of Medicare non-coverage to two residents who remained in the facility after their Medicare Part A skilled services ended. For both residents, the clinical records did not contain a Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage (SNF ABN) after their last covered day under Medicare Part A. During an interview, the Business Office Manager stated that she informed residents or their representatives of private pay amounts but had never provided an ABN form to any resident. The facility's current policy referenced providing a detailed explanation of non-coverage, but there was no evidence that the required SNF ABN was issued to the affected residents.