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F0582
D

Failure to Provide SNF-ABN Notification Prior to Medicare Part A Discharge

Williamston, North Carolina Survey Completed on 07-03-2025

Penalty

No penalty information released
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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 provide the required Centers for Medicare and Medicaid Services (CMS) Skilled Nursing Facility Advanced Beneficiary Notice (SNF-ABN) form 10555 to two residents prior to the termination of their Medicare Part A skilled services, despite both residents remaining in the facility after their skilled coverage ended. Record reviews showed no documentation that either resident or their responsible parties received the SNF-ABN notification. During interviews, the facility social worker acknowledged responsibility for issuing the SNF-ABN and admitted that errors in processing led to the notifications not being provided. The Administrator also confirmed that the residents should have received the SNF-ABN as required by federal guidelines.

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