cms_TN: 11321
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
11321 | MABRY HEALTH CARE | 445272 | 1340 N GRUNDY QUARLES HWY P O BOX 7 | GAINESBORO | TN | 38562 | 2012-06-07 | 156 | E | 0 | 1 | W4VF11 | Based on review of facility documentation and interview, the facility failed to provide three residents (#32, #62, #93) of three residents reviewed with an appropriate liability and appeal notice. The findings included: Review of facility documentation for three residents #32, #62, and #93, revealed the Medicare denial letter did not include the notification of the beneficiary of his/her right to have a claim submitted to Medicare or advise of the standard claim appeal rights if the claim was denied by Medicare. Interview with the billing clerk on June 5, 2012, at 3:45 p.m., in the front office, confirmed the facility failed to provide the residents the appropriate liability and/or appeal notice. Interview with the Administrator on June 5, 2012, at 3:49 p.m., in the front office, confirmed the facility failed to provide the residents the appropriate liability and/or appeal notice. | 2016-02-01 |