Based on resident clinical records, facility documents, and staff interview it was determined that the facility failed to provide a Skilled Nursing Advanced Beneficiary Notice of Non-coverage (SNF-ABN) with the estimated amount of nursing services that will be charged for one of three sampled resident records (Resident R120).Findings include: Review of Resident R120's admission record indicated he was originally admitted on [DATE]. Review of Resident R120's MDS assessment (Minimum Data Set assessment: MDS -a periodic assessment of resident care needs) dated 6/18/26, indicated he had diagnoses that included artificial hip joint, cellulitis (bacterial infection of the skin causing redness, aches, and swelling), and dysphagia (difficulty swallowing). …
F582 citations in Pennsylvania
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
Pennsylvania cites F582 more often than its own record predicts
1.15 times the share F582 takes of citations nationally.
Of every deficiency written in Pennsylvania 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 Pennsylvania surveyors wrote
F582 findings written in Pennsylvania, 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 review of facility policy, facility documents, and staff interviews, it was determined that the facility failed to provide a Notice of Medicare Non-Coverage (NOMNC) for two of three residents (Residents R302, and R303).Findings include:Review of form instructions for the Notice of Medicare Non-Coverage (NOMNC) indicated a Medicare health provider must give an advanced copy of the NOMNC to enrollees receiving skilled nursing, home health, or a comprehensive outpatient rehabilitation facility no later than two days before termination of services.A review of the facility NOMNC form indicated that the resident has a right to appeal non-payment of services, your request must be made no later than noon of the day before the effective date of non-coverage. …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 0.70% | 1.28× |
| 2024 | 0.60% | 1.14× |
| 2025 | 0.47% | 1.15× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Pennsylvania surveyors cite →
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