Failure to Provide Advance Beneficiary Notice Upon Change in Coverage
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 an Advance Beneficiary Notice (CMS-10055 form) to a resident whose medical records were reviewed for beneficiary protection notification. The resident, who had multiple diagnoses including stroke and hypertension, was admitted to the facility and later discharged from Medicare Part A Skilled Nursing before being admitted to the long-term care unit. Upon review, it was found that the required notice was not given to the resident at the time of discharge from Medicare Part A and admission to long-term care. The administrator confirmed that the resident should have received the notice but did not.