Failure to Provide Required Medicare Non-Coverage Notice
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 the required Advanced Beneficiary Notice of Non-coverage (ABN) to a resident or the resident's representative when Medicare Part A coverage ended. Clinical record review showed that Medicare coverage for the resident began on January 11, 2025, and the last covered day was February 12, 2025, with the facility initiating discontinuation of coverage before benefit days were exhausted. Documentation confirmed that the ABN was not issued to the resident. This was verified during an interview with the Nursing Home Administrator, who acknowledged that the notice was not provided as required.