Failure to Provide Required Medicare Coverage Notices at Discharge
Penalty
Fine: $65,27447 days payment denial
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 appropriate notices regarding Medicare Part A coverage and potential liability for non-covered services to a resident who was discharged from Medicare Part A services before benefit days were exhausted. Specifically, the required Skilled Nursing Facility Advance Beneficiary Notice (SNF ABN) and Notice of Medicare Non-Coverage (NOMNC) were not acknowledged by the resident or the resident's representative. This deficiency was identified through record review and confirmed by staff interview, affecting one out of three residents reviewed during the survey.