Failure to Provide Timely SNF ABN 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 timely notification to a resident or the resident's representative regarding Medicare/Medicaid coverage and potential liability for non-covered services. Specifically, the SNF Advance Beneficiary Notice (ABN), Form CMS-10055, was not completed or sent to the resident until prompted by surveyors during the annual survey process. This deficiency was identified for one of three residents reviewed, where the required notice was only provided after the surveyor requested the SNF Beneficiary Notification Review form. The Nursing Home Administrator confirmed that this lapse was discovered during an internal audit of ABNs.