Failure to Provide Timely SNFABN Notice to Resident
Penalty
Summary
The facility failed to provide the required Skilled Nursing Facility Advanced Beneficiary Notice (SNFABN) CMS-10055 to a resident who was receiving Medicare-covered skilled services. The resident received skilled services from early November through early February, and the facility discontinued these services before the Medicare benefit days were exhausted. The resident was notified of the end of coverage only one day prior to the last covered day, rather than the required minimum of two days' notice. Interviews with the responsible RN and facility leadership confirmed that the notice was not provided within the required timeframe, and the facility's policy mandates that such notices be given at least 48 hours in advance and documented in the medical record.