cms_GA: 1870
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1870 | PRESBYTERIAN HOME, QUITMAN, IN | 115498 | 1901 WEST SCREVEN STREET | QUITMAN | GA | 31643 | 2017-05-04 | 156 | D | 0 | 1 | ROL411 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to ensure each Medicare resident whose Medicare therapy services were terminated received a notice within 2 days prior to those services ending for 2 of 3 residents (R#40 and R#44) who were reviewed for Liability Notices and Beneficiary Appeal rights. Findings include: 1. Review of the medical record for R#40 revealed she was admitted to the facility on [DATE]. R#40 had Medicare benefits and was discontinued from therapy services on 12/15/16 because she refused to participate for 3 sessions (based on hand written notes on the SNFABN (Skilled Nursing Facility Advance Beneficiary Notice) CMS (Center for Medicare and Medicaid Services) form . The facility provided R#40 with the SNFABN CMS form upon discontinuation of services on 12/19/16. Services were discontinued on 12/20/16 which was less than 2 days after the notice was given. 2. Review of the medical record for R#44 revealed she was admitted to the facility on [DATE]. R#44 had Medicare benefits that were discontinued on 12/3/16. The facility provided her with the SNFABN CMS form on 12/3/16, the same day services were terminated. The facility did not give the resident a two-day notice that benefits were ending. During an interview on 5/3/17 at 11:01 a.m. the administrative assistant said she was responsible for generating and delivering the liability notices. She said, per their procedure, the residents were to have a 72 hour notice their services were terminating. She said R#40 did not receive a 48-hour notice because she had refused therapy for three days. She said R#44 was admitted to hospice on 2/3/16 so they terminated her services that day. The administrative assistant stated she was unaware the facility was required to give at least a two-day notice to all residents who were discharged from Medicare services. The administrator was asked to provide a policy related to liability notices; no policy was provided as of the survey exit on 5/4/17. | 2020-09-01 |