cms_NE: 4789
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4789 | SIDNEY CARE AND REHABILITATION CENTER, LLC | 285113 | 1435 TOLEDO STREET | SIDNEY | NE | 69162 | 2016-05-11 | 156 | E | 0 | 1 | LW9411 | Based on record reviews and interview, the facility failed to 1) issue the notice of Medicare A noncoverage for one sampled resident (Resident 7) and 2) include the reason for Medicare A noncoverage for two sampled residents (Resident 4 and 34). The facility census was 31. Findings are: [NAME] Review of the SNF (Skilled Nursing Facility) Determination on Continued Stay for Resident 7 revealed that on 5/6/16 the resident would no longer qualify for Medicare services. Further review revealed no documentation that the resident received information on the appeal process. B. Review of the Notice of Medicare Non-Coverage revealed that Resident 4's coverage for skilled nursing would end on 3/12/16. Further review revealed no signature on the SNF Determination on Continued Stay which included the reason for non coverage. C. Review of the Notice of Medicare Non-Coverage revealed that Resident 34 skilled nursing services would end on 1/29/16. Further review reveled no information regarding the reason the resident's Medicare coverage would end. Interview on 5/10/16 at 3:53 PM with the Social Services Director confirmed that the residents were to receive notices of Medicare non coverage when their Medicare benefits were ending. Further interview confirmed that the notices were to include the information of the appeal process and the reason for non coverage. | 2020-03-01 |