Failure to Provide Timely Medicare Coverage and Liability 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 timely and appropriate beneficiary notices regarding Medicare coverage and potential financial liability for services not covered. For one resident, the Notice of Medicare Non-Coverage (NOMNC) was not given with the required 48-hour notice prior to the last covered day, as the resident was notified only one day in advance. Additionally, the Skilled Nursing Facility Advance Beneficiary Notice (SNF ABN) was not provided to this resident. For another resident, the SNF ABN was also not provided, despite the resident remaining in the facility after Medicare Part A coverage ended. These deficiencies were confirmed through record review and staff interview.