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F0582
D

Failure to Complete Advanced Beneficiary Notice of Non-coverage (ABN) Forms

Bakersfield, California Survey Completed on 06-12-2025

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 ensure that the Advanced Beneficiary Notice of Non-coverage (ABN) was properly completed for two of three sampled residents. During interviews and record reviews with the Business Office Manager, it was found that the ABN forms for both residents had the required options section left blank, indicating that the residents had not selected or been assisted in selecting one of the available choices regarding their Medicare coverage and potential financial responsibility. The Business Office Manager confirmed that the ABNs were incomplete. Review of the facility's policy indicated that Medicare beneficiaries should be properly notified when they do not meet requirements for covered skilled services, but this process was not followed for the two residents involved.

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