cms_WV: 8198
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8198 | HILLTOP CENTER | 515061 | PO BOX 125 | HILLTOP | WV | 25855 | 2012-05-22 | 156 | E | 0 | 1 | JXHC11 | Based on medical record review, staff interview, resident interview, and observation, the facility did not ensure written information was prominently displayed about how to apply for and use Medicaid benefits. The facility also failed to ensure one (1) of forty- six (46) residents had received information regarding how to contact the physician responsible for her care. In addition, the facility failed to ensure two (2) of five (5) residents received the appropriate liability notice after they were discharged from a Medicare Part A service. Resident identifiers: #45, #58, and #114. Facility census: 115. Findings include: a) On 05/15/12, at approximately 9:00 a.m., an observation of the facility revealed they had not posted the necessary information regarding how to apply for and use Medicaid benefits. On 05/16/12, at approximately 9:00 a.m., the administrator (Employee #43) agreed the facility had not posted this information. She indicated the facility had previously posted the information, but people kept taking it down. b) Resident #114 On 05/15/12, at approximately 4:00 p.m., the director of admissions (Employee #68) indicated she gave the residents the consent for treatment and release of information form at the time of admission. Review of Resident #114's medical record, conducted on 05/15/12, at approximately 4:30 p.m., found the consent for treatment and release of information form. The form did list the resident's physician; however, the form did not have contact information listed for the physician. The form had a place to list the physician's telephone number and physician's address, but this information had not been provided on the form. In an interview on 05/22/12, at approximately 8:45 a.m., Resident #114 indicated she did not know how to contact her physician. On 05/22/12, at approximately 5:00 p.m., the director of nursing (Employee #2) asked what type of contact information the facility needed to give the residents regarding how to contact their physician. The director of nursing agreed that the resident's consent for treatment and release of information form required the telephone number and/or address of the resident's physician. c) Liability notices On 05/17/12, at approximately 9:00 a.m., the social workers, Employee #17 and Employee #24, were interviewed regarding the notices given to residents who were discharged from a Medicare Part A service. Resident #45 and Resident #58 were both discharged from Medicare Part A services in April 2012. 1) Resident #58's skilled services ended on 04/30/12 due to the resident reaching his functional ability potential and no longer needing the supervision or skills of a therapist. The facility provided the responsible party with the Notice of Medicare Provider Non-Coverage (CMS form ). They did not provide the Skilled Nursing Facility Advanced Beneficiary Notice (SNFABN) (CMS form ). The resident remained in the facility and services were terminated prior to the 100-day benefit period per the facility's decision. The facility needed to provide the responsible party with the SNFABN because benefit days remained and there was a potential for financial liability. 2) Resident #45's skilled services ended on 04/02/12 due to the resident having learned to perform the tasks ordered by her physician. The facility provided the responsible party with the Notice of Medicare Provider Non-Coverage (CMS- ). They did not provide the Skilled Nursing Facility Advanced Beneficiary Notice (SNFABN) (CMS form ). The resident remained in the facility with benefit days. The facility needed to issue the SNFABN because benefit days remained and there was a potential for financial liability. On 05/17/12, at approximately 9:30 a.m., the social workers confirmed they had not sent the SNFABN to Resident #45's and Resident #58's responsible parties. | 2016-07-01 |