cms_TN: 2736

In collaboration with The Seattle Times, Big Local News is providing full-text nursing home deficiencies from Centers for Medicare & Medicaid Services (CMS). These files contain the full narrative details of each nursing home deficiency cited regulators. The files include deficiencies from Standard Surveys (routine inspections) and from Complaint Surveys. Complete data begins January 2011 (although some earlier inspections do show up). Individual states are provides as CSV files. A very large (4.5GB) national file is also provided as a zipped archive. New data will be updated on a monthly basis. For additional documentation, please see the README.

This data as json, copyable

rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
2736 MISSION CONVALESCENT HOME 445447 118 GLASS ST JACKSON TN 38301 2017-11-21 156 C 0 1 CXGX11 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on policy review, medical record review, and interview, the facility failed to provide appropriate liability and appeal notices for 3 of 3 (Resident #16, 28, and 44) sampled residents reviewed for liability and appeal notices. The findings included: 1. The facility's Form Instructions for the Notice of Medicare Non-Coverage . policy documented, .A Medicare provider .must deliver a completed copy of the Notice of Medicare Non-Coverage (NOMNC) to beneficiaries/enrollees receiving skilled nursing .services .The NOMNC must be delivered at least two calendar days before Medicare covered services end or the second to last day of service of care is not being provided daily .The provider must ensure that the beneficiary or representative signs and dates the NOMNC to demonstrate that the beneficiary or representative received the notice and understands that the termination decision can be disputed . 2. Medical record review revealed Resident #16 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. The Skilled Nursing Facility Advance Beneficiary Notice (SNFABN) documented, .The effective date coverage of your current Medicare Part A Service will end: 7-19-17 . There was no signature of the resident or resident representative indicating advance notice was provided. The Discharge Summary documented a discharge date of [DATE]. 3. Medical record review revealed Resident #28 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. The NOTICE OF MEDICARE NON-COVERAGE form documented, .THE EFFECTIVE DATE COVERAGE OF YOUR CURRENT .Skilled Rehab (Rehabilitation) .SERVICES WILL END: 9-15-17 . There was no signature of the resident or resident representative indicating advance notice was provided. Resident #28 was still residing at the facility, 4. Medical record review revealed Resident #44 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. The Skilled Nursing Facility Advance Beneficiary Notice (SNFABN) documented, .The effective date coverage of your current Medicare Part A Service will end: 6-11-17 . There was no signature of the resident or resident representative indicating advance notice was provided. The Discharge Summary documented a discharge date of [DATE]. Interview with the Minimum Data Set (MDS) Coordinator on 11/21/17 at 11:11 AM, in the Activities Room, the MDS Coordinator was asked whether anyone signed for notification of end of medicare services for Resident #16, 28, or 44. The MDS Coordinator stated, I just mail those out to the RP (Responsible Party), and I ask them to bring it back in to me. Most of the time they don't. The MDS Coordinator was asked whether he documented when he mailed the notices. The MDS Coordinator stated, No . The MDS Coordinator was asked if he sent the notices by certified mail. The MDS Coordinator stated, No . The facility was unable to provide evidence that advanced notice was provided for Resident #16, #28, and #44 before the ending of Medicare-covered services. 2020-09-01