cms_ME: 37
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
37 | BARRON CENTER | 205011 | 1145 BRIGHTON AVE | PORTLAND | ME | 4102 | 2018-12-07 | 582 | C | 0 | 1 | OYJ711 | Based on interviews and clinical record review, the facility failed to ensure liability notices, which included appeal rights, were provided to 3 of 3 residents whose Medicare services were discontinued (Residents #18, #78 and #268). Findings: 1. On review of Resident #18's liability notices, issued prior to the end of Medicare Part A services on 5/31/18, the surveyor could not locate evidence that the Notice to Medicare Provider Non-coverage (NOMNC) was provided to the resident informing his/her right to an expedited review of a service termination. 2. On review of Resident #78's liability notices, issued prior to the end of Medicare Part A services on 5/31/18, the surveyor could not locate evidence that the NOMNC was provided to the resident informing his/her right to an expedited review of a service termination. 3. On review of Resident #268's liability notices, issued prior to the end of Medicare Part A services on 10/17/18, the surveyor could not locate evidence that the NOMNC was provided to the resident informing his/her right to an expedited review of a service termination. On 12/4/18 at 2:10 p.m., in an interview with two Licensed Social Workers, the surveyor confirmed that NOMNCs were not issued prior to the end of Medicare Part A services. They stated that they verbally inform the residents of their appeal rights, however, they stated they are not providing that information in writing. | 2020-09-01 |