cms_GA: 2204
In collaboration with The Seattle Times, Big Local News is providing full-text nursing home deficiencies from Centers for Medicare & Medicaid Services (CMS). These files contain the full narrative details of each nursing home deficiency cited regulators. The files include deficiencies from Standard Surveys (routine inspections) and from Complaint Surveys. Complete data begins January 2011 (although some earlier inspections do show up). Individual states are provides as CSV files. A very large (4.5GB) national file is also provided as a zipped archive. New data will be updated on a monthly basis. For additional documentation, please see the README.
This data as json, copyable
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rowid
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facility_name
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facility_id
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address
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city
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state
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zip
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inspection_date
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deficiency_tag
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scope_severity
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complaint
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standard
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eventid
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inspection_text
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filedate
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| 2204 |
ARROWHEAD HEALTH AND REHAB |
115539 |
239 ARROWHEAD BOULEVARD |
JONESBORO |
GA |
30236 |
2017-06-15 |
156 |
D |
0 |
1 |
4B7G11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, staff interview, and review of the facility policy for Medicare Claims Processing Manuel Chapter 30 - Financial Liability Protections, the facility failed to ensure one of three residents reviewed for receipt of liability notice for Medicare non-coverage of skilled services (Resident (R)#78). Findings include: A review of information in the Medicare Claims Processing Manuel Chapter 30, with a revision date of 1/27/17, .260.3.8 NOMNC Delivery to Representatives . The NOMNC may be delivered to a beneficiary's appointed or authorized representative . However, if the beneficiary is temporarily incapacitated a person (typically, a family member or close relative) whom the provider has determined could reasonable represent the beneficiary . in these instances of delivering a notice to an unnamed representative, the provider should annotate the NOMNC with the name of the staff person initiating the contact, the name of the person contacted and the date, time, and method (in person or telephone) of the contact. Per clinical record review, R#78 was admitted to the facility on [DATE]. The physician ordered R#78 be evaluated for skilled services on 5/4/16. On 7/19/16, the speech therapy notes indicated R#78 was to be discharged from skilled services. A review was conducted of the liability notice (Notice of Medicare Non-Coverage) for R#78. The Notice of Medicare Non-Coverage (NOMNC) for R#78, identified R#78 was discharged from skilled services with an effective dated of 7/19/16. There was no documented evidence a liability notice was provided to R#78 or to the resident's representative prior to the end of skilled services. This notice would have provided information, to the resident and/or the resident's representative, on the potential liability for non-covered services and the resident's right to appeal the facility's decision to end skilled services. There were no Progress Notes located in the electrical medical records, that indicated R#78 or his representative was given notice for the end of skilled services. An interview was conducted with the Business Office Manager (BOM) on 6/14/17 at 1:18 p.m. The BOM stated the Social Worker was to provide notice prior to the end of skilled services. The BOM stated the facility had a new Social Worker and the NOMNC was given by a prior Social Worker. She said if the resident was not able to be notified, the resident's representative would be notified in person or by telephone, along with the right to appeal the facility's decision to end skilled services. |
2020-09-01 |