cms_ND: 94
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
94 | MINOT HEALTH AND REHAB, LLC | 355031 | 600 S MAIN ST | MINOT | ND | 58701 | 2019-10-21 | 582 | B | 0 | 1 | 6YYS11 | Based on review of Medicare Part A letters/notices and staff interview, the facility failed to provide the Centers for Medicare/Medicaid Services (CMS) Notice of Medicare Provider Non-coverage (NOMNC) form (CMS- ) and/or Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage (SNFABN) form (CMS- ) to 3 of 3 residents (Resident #15, A, and B) reviewed who were discharged from Medicare Part A services. Failure to provide the correct notices upon termination of Medicare Part A services, the updated contact information for the intermediary review agency, and ensure the resident's received the option to appeal the termination of coverage has the potential to hinder the residents' right to an expedited review of a service termination. Findings include: Review of the Medicare Part A letters/notices for Resident #15, A and B occurred on the afternoon of 10/17/19. The records identified the following: * Resident A received the NOMNC form (CMS - ) on 08/08/19. The form lacked the updated contact information for the intermediary review agency. * The facility failed to provide Resident B with the NOMNC form (CMS - ) when all covered services ended. * Resident #15 received the SNFABN form (CMS- ) on 05/06/19. The resident signed the form and returned it to the facility but failed to identify, by checking a box, whether they requested a demand bill. During an interview on 10/17/19 at 3:52 p.m., a business office staff member (#2) confirmed Resident B failed to receive the CMS - , the facility had failed to confirm if Resident #15 wanted to request a demand bill, and verified the CMS - form lacked the updated contact information for the intermediary review agency. | 2020-09-01 |