Failure to Provide Required Medicare Non-Coverage Notice Prior to Discharge
Penalty
Summary
The facility failed to provide a Notice of Medicare Non-Coverage (NOMNC) to a resident who was discharged from Medicare Part A skilled services before exhausting their benefit days. The resident began receiving Medicare Part A skilled services on 09/23/2024, with the last covered day being 11/03/2024. The facility initiated the discharge from Medicare Part A services, but there was no documented evidence that the required NOMNC was given to the resident or their responsible party prior to the discontinuation of covered services and discharge home. Record review and staff interviews confirmed that the NOMNC was not located or completed for the resident, and the facility was unable to provide documentation that the notice was issued as required. The Social Services Director acknowledged the absence of the NOMNC, and the Administrator confirmed that the facility had identified issues with beneficiary notifications but had not yet implemented a quality assurance process to address the problem.