Failure to Provide Timely Medicare Non-Coverage Notices
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 resident with the required Skilled Nursing Facility Advanced Beneficiary Notice of Non-Coverage (SNF ABN) and the Notice of Medicare Non-Coverage (NOMNC) at least two days prior to the end of Medicare Part A covered services. Record review showed that the resident's last covered day for Medicare Part A was 04/30/2025, and the facility initiated discharge from Medicare Part A services before benefit days were exhausted. Both the SNF ABN and NOMNC were signed electronically by the resident on the last covered day, with no date recorded for the Social Services Director's initials. An interview with the Social Services Director confirmed that the required notices were not provided within the mandated timeframe.