cms_NE: 37
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
37 | HOMESTEAD REHABILITATION CENTER | 285049 | 4735 SOUTH 54TH STREET | LINCOLN | NE | 68516 | 2018-05-22 | 582 | D | 0 | 1 | HJ5H11 | LICENSURE REFERENCE NUMBER 175 NAC 12-006.05.5b Based on record review and interview, the facility failed to provide the required SNFABN (forms designed to notify the residents of their right to appeal discharge from a facility based on discontinuation of Medicare Part A services). notices for residents, this had the potential to affect 3 of 4 residents sampled, (Residents 116, 103 and 98). The facility census was 131. Record review of SNFABN forms for Residents # 116 and 103, revealed the Request for Medicare Intermediary Review did not have the designations of choice of wanting bill for services submitted or not submitted. On 05/22/18 at 11:10 AM, an interview with SSD F (Social Service Designee) confirmed neither of the choices were selected. Record review for SNFABN notice for Resident 98 revealed there was no request for Medicare Intermediary Review form. On 05/22/18 at 11:10 AM an interview with SSD [NAME] confirmed there was no Request for Medicare Intermediary Review form. | 2020-09-01 |