Pennsylvania Department of Health
FAIRVIEW REHAB AND CARE CENTER
Patient Care Inspection Results

Note: If you need to change the font size, click the "View" menu at the top of the page, place the mouse over the "Text Size" menu item, and select the desired font size.

Severity Designations


Minimal Citation - No Harm	Minimal Harm	Actual Harm	Serious Harm

FAIRVIEW REHAB AND CARE CENTER
Inspection Results For:

There are 172 surveys for this facility. Please select a date to view the survey results.

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.


FAIRVIEW REHAB AND CARE CENTER - Inspection Results	Scope of Citation Number of Residents Affected By Deficient Practice

Initial comments:

Based on an abbreviated survey in response to two complaints, completed on October 29, 2025, it was determined that Fairview Nursing and Rehabilitation Center was not in compliance with the 28 Pa Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations related to the health portion of the survey process.

Plan of Correction:

483.10(g)(17)(18)(i)-(v) REQUIREMENT Medicaid/Medicare Coverage/Liability Notice:

§483.10(g)(17) The facility must--
(i) Inform each Medicaid-eligible resident, in writing, at the time of admission to the nursing facility and when the resident becomes eligible for Medicaid of-
(A) The items and services that are included in nursing facility services under the State plan and for which the resident may not be charged;
(B) Those other items and services that the facility offers and for which the resident may be charged, and the amount of charges for those services; and
(ii) Inform each Medicaid-eligible resident when changes are made to the items and services specified in §483.10(g)(17)(i)(A) and (B) of this section.

§483.10(g)(18) The facility must inform each resident before, or at the time of admission, and periodically during the resident's stay, of services available in the facility and of charges for those services, including any charges for services not covered under Medicare/ Medicaid or by the facility's per diem rate.
(i) Where changes in coverage are made to items and services covered by Medicare and/or by the Medicaid State plan, the facility must provide notice to residents of the change as soon as is reasonably possible.
(ii) Where changes are made to charges for other items and services that the facility offers, the facility must inform the resident in writing at least 60 days prior to implementation of the change.
(iii) If a resident dies or is hospitalized or is transferred and does not return to the facility, the facility must refund to the resident, resident representative, or estate, as applicable, any deposit or charges already paid, less the facility's per diem rate, for the days the resident actually resided or reserved or retained a bed in the facility, regardless of any minimum stay or discharge notice requirements.
(iv) The facility must refund to the resident or resident representative any and all refunds due the resident within 30 days from the resident's date of discharge from the facility.
(v) The terms of an admission contract by or on behalf of an individual seeking admission to the facility must not conflict with the requirements of these regulations.

Observations:

Based on a review of clinical records, review of facility documentation, and staff interview, it was determined that facility failed to provide the Skilled Nursing Facility Advanced Beneficiary Notice of Non-Coverage (SNF ABN) for three out of three residents reviewed (Resident R1, R2, and R3).

Findings Include:

A review of the "Form Instructions Skilled Nursing Facility (SNF) Advanced Beneficiary Notice of Non-coverage (SNFABN) Form CMS-10055" revealed that examples of the common reasons why an extended care stay, or services may not be covered under Medicare might include the beneficiary no longer requires daily skilled care for a medical condition but wants to continue residing in the skilled nursing facility (SNF). The SNF enters a good faith estimate of the cost of the corresponding care that may not be covered by Medicare. In the blank that follows "Beginning on ...," the skilled nursing facility enters the date on which the beneficiary may be responsible for paying for care that Medicare is not expected to cover. The beneficiary selects an option box to indicate a desire to continue to receive the care or not to continue to receive the care and if there is a desire to have the bill submitted to Medicare for consideration. The beneficiary or their authorized representative must sign the signature box to acknowledge that they read and understood the notice. The SNF must issue this notice when there is a termination of all Medicare Part A services for coverage reasons. If after issuing the NOMNC, the SNF expects the beneficiary to remain in the facility in a non-covered stay, the SNFABN must be issued to inform the beneficiary of potential liability for the non-covered stay.

Review of facility documentation revealed Resident R1 was provided with a notice of Medicare non-coverage that indicated Medicare coverage for facility services would end on September 16, 2025. Resident R1 remained in the facility status post termination of Medicare coverage.

Review of facility documentation revealed Resident R2 was provided with a notice of Medicare non-coverage that indicated Medicare coverage for facility services would end on October 17, 2025. Resident R2 remained in the facility status post termination of Medicare coverage.

Review of facility documentation revealed Resident R3 was provided with a notice of Medicare non-coverage that indicated Medicare coverage for facility services would end on October 21, 2025. Resident R3 remained in the facility status post termination of Medicare coverage.

Continued review of documents provided by the facility revealed no documented evidence Resident R1, R2, and R3 were provided with the Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF-ABN; Form CMS-10055) to notify the residents and/or Representative of the cost of the facility's items and services no longer covered under Medicare.

Interview on October 29, 2025, at 12:30 p.m. with the Nursing Home Administrator, Employee E1, confirmed Resident R1, R2, and R3 were not provided with the SNF-ABN Form CMS-10055.

Plan of Correction - To be completed: 11/30/2025

1.An ABN was provided to all possible residents.

2.Other residents within the last month were reviewed to see if an ABN was appropriate and given.

3.NHA/Designee will Educate the SSD and BOM regarding given an ABN post insurance change if resident is staying in the facility

4.NHA/Designee will run weekly audits time 4 weeks to confirm facility is in compliance regarding ABNs. Results will be reviewed by QAPI to determine if further action is necessary...

Back to County Map

Home : Press Releases : Administration
Health Planning and Assessment : Office of the Secretary
Health Promotion and Disease Prevention : Quality Assurance

Copyright © 2001 Commonwealth of Pennsylvania. All Rights Reserved.
Commonwealth of PA Privacy Statement