cms_SC: 4288
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4288 | FRASER HEALTH CENTER | 425150 | 300 WOOD HAVEN DRIVE | HILTON HEAD ISLAND | SC | 29928 | 2016-12-15 | 156 | B | 0 | 1 | N3QC11 | Based on record review and interview, the facility failed to utilize the required form for Notice of Medicare Non-Coverage(NOMNC) for Residents #14 and #54(2 of 3 reviewed) , failed to accurately complete a Skilled Nursing Facility Advance Beneficiary Notice(SNFABN) for Resident #49(1 of 3 reviewed) and failed to issue the NOMNC for Resident #49(1 of 3 reviewed). The findings included: Record review on 12/15/16 for Liability Notices revealed the facility issued Form No. CMS- to Residents #14 and #54 instead of the required Form No. CMS- -NOMNC. Further review revealed the SNFABN notice for Resident #49 did not indicate which option the resident and/or authorized representative desired. In addition, Form No. CMS- -NOMNC was not issued to Resident #49. During an interview with the Administrator on 12/15/16 at 2:26 PM, he/she was not aware of the newest Form No. -NOMNC nor was he/she aware Form No. -NOMNC needed to be issued in conjunction with the SNFABN. No policy was provided for Liability notices during the survey process. | 2020-04-01 |