Failure to Provide Required Medicare Non-Coverage Notices
Penalty
Fine: $40,950
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 required written notification to residents discharged from skilled services regarding the end of their Medicare coverage. Specifically, two residents with multiple diagnoses, including hyperlipidemia, dementia, hypertension, morbid obesity, diabetes, kidney disease, and dysphagia, were discharged from Medicare Part A covered stays while still having benefit days remaining. Record review showed no evidence that a Notice of Medicare Non-coverage (NOMNC) was issued to either resident. The facility's beneficiary notice list confirmed these discharges occurred within the last six months, and an interview with the Social Service Designee verified that there was no documentation of the NOMNC forms being provided.