Based on clinical record review, staff interviews, and the Form Instructions for the Notice of Medicare Non-Coverage (NOMNC) CMS-10123, the facility failed to ensure the resident's signature and date on the NOMNC form was legibly signed and dated for one of three sampled residents (#44). The deficient practice could result in inaccurate NOMNC forms.Findings include:Resident #44 was admitted to the facility on [DATE], with a diagnosis that included tubulo-interstitial nephritis, depression, and lack of coordination.A care plan dated January 13, 2026 revealed a focus for discharge, with stay projected to be a short duration. …
F582 citations in Arizona
Medicare and Medicaid notices · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arizona cites F582 less often than its own record predicts
0.63 times the national share — cited less often here than elsewhere.
Of every deficiency written in Arizona in 2025, this is the portion that was F582.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F582 findings written in Arizona, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on interview and record review, the facility failed to ensure the Notice of Medicare Non-Coverage (NOMNC), Form CMS-10123, was completed with the type of service, the required Quality Improvement Organization (QIO) name and contact information for 3 of 3 residents reviewed for beneficiary notices (Resident (R) 3, 37, and 56). As a result, there was the potential for residents who wished to file an appeal to be unable to do so in a timely manner.Findings include: Review of the NOMNC forms provided by the facility for R3, R37, and R56 revealed the forms included placeholder language instead of the required QIO information. …
The short window
Recent years
| Year | Share of Arizona citations | vs expected |
|---|---|---|
| 2023 | 0.35% | 0.64× |
| 2024 | 0.31% | 0.58× |
| 2025 | 0.26% | 0.63× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arizona surveyors cite →
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