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F0842
D

Failure to Maintain Accurate Medical Records for NOMNC Issuance

Honolulu, Hawaii Survey Completed on 04-25-2025

Penalty

Fine: $27,885
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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 maintain an accurate and complete medical record for a resident, as required by accepted professional standards. Specifically, there was a discrepancy in the documentation and issuance of the Notice of Medicare Non-Coverage (NOMNC) for the resident. The family member responsible for the resident received the NOMNC via email on 04/08/25, indicating that services would end on that date. However, the resident's electronic health record (EHR) contained a scanned copy of the NOMNC with handwritten information stating it was issued on 04/04/25, and a social services note also documented the NOMNC as being issued on 04/04/25. During interviews and record review, the Social Services Assistant confirmed that the NOMNC was actually issued on 04/08/25, not 04/04/25 as documented in both the EHR and the social services note. This inconsistency in documentation demonstrates a failure to maintain accurate medical records for the resident.

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