cms_SC: 8291
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
8291 | EMERITUS AT GREENVILLE | 425373 | 1306 PELHAM RD | GREENVILLE | SC | 29615 | 2012-09-12 | 156 | C | 0 | 1 | FVQN11 | On the days of the survey, based on record review and interview, the facility failed to provide Skilled Nursing Facility Advanced Beneficiary Notice (SNFABN) Denial letters for 3 of 3 residents reviewed for Medicare beneficiary liability notices. The findings included: While Reviewing the Liability Notices and Beneficiary Appeal Rights on 9/12/12 at approximately 11 AM, the surveyor observed one form that was given to the three residents which was the CMS(Centers for Medicare/Medicaid) form which indicated the first day of Medicare non coverage for the residents. The residents reviewed did not exhaust their 100 days of medicare services. Issuing the Notice to Medicare Provider Non-coverage form CMS- to a resident only gives notice of his or her rights to a review of service termination. The facility did not provide the residents the SNFABN or a Denial letter to address liability for payment. During an interview with the Executive Director on 9/12/12 at 11:15 AM, he confirmed the surveyor findings and stated he was not aware of a SNFABN or Denial Letter. | 2016-06-01 |