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F0582
D

Failure to Provide SNF Advanced Beneficiary Notice of Non-Coverage

Olympia, Washington Survey Completed on 06-24-2025

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 Skilled Nursing Facility Advanced Beneficiary Notice of Non-Coverage (SNF ABN) to one of three sampled residents reviewed for beneficiary notices. Record review showed that the Notice of Medicare Non-Coverage, dated 03/28/2025, documented that the resident was not given the SNF ABN. During an interview, the Administrator confirmed that the resident had not been provided with the SNF ABN as required.

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