Failure to Timely Refund Overpayment After Resident Discharge
Penalty
Summary
The deficiency involves the facility’s failure to ensure a discharged resident was only held financially liable for services rendered and to provide timely refunds of overpayments. Record review of one resident’s electronic health record showed the resident was discharged on 10/22/25. During an interview on 02/26/26, the Business Office Manager confirmed that this resident was owed a refund for October and November 2025, that the facility received a payment in November that it should not have received, and that the facility did not issue the October refund within 30 days of discharge as required. The Business Office Manager further stated that the refund was not mailed until 02/20/26, approximately 120 days after the resident’s discharge, demonstrating that the resident was not refunded all monies due within the required timeframe.
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