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F0582
B

Failure to Timely Notify Resident of Medicare Coverage Termination

Scranton, Pennsylvania Survey Completed on 07-25-2025

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 provide timely notification to a resident regarding the end of Medicare Part A coverage for skilled nursing services. Clinical record review showed that the resident was admitted with diagnoses including weakness and a need for personal assistance. Documentation indicated that Medicare Part A coverage ended on February 18, 2025, but the required Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF-ABN) was not issued until the same day coverage ended. An interview with the director of nursing confirmed that the SNF-ABN was not provided prior to the termination of coverage, as required. This deficiency was identified through review of records and staff interviews.

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