Failure to Provide SNF ABN Prior to Discontinuation of Medicare Part A Services
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 Skilled Nursing Facility Advance Beneficiary Notice (SNF ABN), Form CMS-10055, to two residents prior to the discontinuation of their Medicare Part A services. For both residents, records showed that Medicare Part A skilled services were ended while benefit days remained, and each resident was discharged home. There was no documented evidence that either resident or their responsible party received the SNF ABN before discharge. Interviews with the social worker and business office manager confirmed that the required notification was not given to the residents or their responsible parties prior to the termination of Medicare Part A services.