Failure to Timely Notify Resident of Medicare Coverage Termination
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 timely notification to a resident regarding the end of Medicare Part A coverage for skilled nursing services. Clinical record review showed that the resident was admitted with diagnoses including weakness and a need for personal assistance. Documentation indicated that Medicare Part A coverage ended on February 18, 2025, but the required Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF-ABN) was not issued until the same day coverage ended. An interview with the director of nursing confirmed that the SNF-ABN was not provided prior to the termination of coverage, as required. This deficiency was identified through review of records and staff interviews.