cms_NE: 1580
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1580 | AZRIA HEALTH GRETNA | 285146 | 700 HIGHWAY 6 | GRETNA | NE | 68028 | 2017-01-30 | 156 | D | 0 | 1 | PGG811 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Licensure Reference Number: 175 NAC 12-006.05(1) Based on record review and interview, the facility failed to provide a list of services and items covered and not covered by Medicaid for two residents (Resident 27 and 44). The facility census was 50. Findings are: [NAME] In a telephone interview, with a family member of Resident 27, on 01/18/2017 at 3:11 PM revealed that when asked, If the resident is on Medicaid did the staff give her/him (or you) a list of services and items that you would and would not be charged for? The answer was No. In a telephone interview, with a family member of Resident 44, on 01/18/2017 at 3:30 PM revealed that when asked, If the resident is on Medicaid, did the staff give her/him (or you) a list of services and items that you would and would not be charged for? The answer was No. A record review of Resident 27's checklist form has nothing written on it except Resident 27's name. A record review of Resident 44's checklist form has nothing written on it except Resident 44's name, date completed (4/10/14) and a medical record number. A record review of General SNF Admission Package: Policies and Procedures, dated 05/12/2011 revealed in section 5.2 step 5) Place the admission checklist on top of each package. As you are completing the package materials, you must also be signing and dating each section assist is completed. An interview with Director of Social Services (DSS) on 01/19/2017 at 2:08 PM revealed that DSS has a premade admission packet of information; that includes an information sheet that contains a list of what is covered and not covered by Medicaid. It is included as part of every admission packet, even if the new resident was not Medicaid. Each packet has an admission checklist with the new resident's name and the Medicaid covered items form is one of the forms on the checklist. The DSS also stated that the DSS assisted Resident 27 with (gender) Medicaid application and that the DSS didn't re-share the covered costs, only how the costs were determined. The DSS stated that Resident 27 was admitted on [DATE], and applied for Medicaid sometime in (MONTH) (YEAR) and started in (MONTH) (YEAR). Resident 44 was admitted to the facility on Medicaid on 04/04/2014. When the DSS was asked if (gender) was utilizing the admission checklist as outlined in the policy, the DSS answered, No. | 2020-09-01 |