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 Notice of Medicare Non-Coverage (NOMNC) form to a resident who was discharged following the end of their Medicare Part A skilled services. Record review showed that the resident's Minimum Data Set (MDS) Discharge assessment was marked as planned, but there was no documentation that the NOMNC was issued prior to the termination of skilled services. During staff interview, the Social Worker Designee confirmed that the NOMNC was not given to the resident or their representative.