Abbeyville Skilled Nursing: Medicare Notice Failures - PA
The facility's own administrators confirmed it.
Federal rules require skilled nursing facilities to deliver a Notice of Medicare Non-Coverage to residents before Medicare-covered services end. The notice exists for a specific reason: so that patients and their families know, before the bill arrives, that they are about to become responsible for costs Medicare will no longer cover. The notice must be delivered at least two calendar days before covered services end. For residents not receiving daily care, it must arrive no later than the second-to-last day of service.
Abbeyville did not deliver it to either resident.
The first, identified in inspection records as Resident R1, was discharged from skilled services and left the facility on July 1, 2025. Inspectors reviewed both the electronic medical record and the paper chart. Neither contained a Notice of Medicare Non-Coverage. There were no progress notes indicating anyone had communicated the substance of that notice to the family member responsible for R1's billing. Nothing.
The second, Resident R14, was discharged from skilled services and left on August 1, 2025. Again, inspectors found no notice in the electronic record. No documentation that anyone had told R14 what was coming financially.
On August 4, the facility's Director of Social Services confirmed to inspectors that the facility could not produce evidence a notice had been issued to either resident or their representatives. Three days later, the Nursing Home Administrator confirmed the same thing outright: the facility had failed to provide timely Medicare non-coverage notice for two of the seven residents whose records were reviewed.
That is not a rounding error or a filing glitch. The notice requirement exists precisely because the moment Medicare stops covering skilled nursing care is the moment costs can shift suddenly and substantially to the patient. A family managing a loved one's discharge, coordinating transportation and follow-up care and medication pickups, may have no idea they are simultaneously absorbing a new financial liability. The notice is supposed to prevent that.
At Abbeyville, for at least two families this summer, it did not happen.
The inspection, conducted August 19, 2025, was a complaint survey. Inspectors rated the violation as causing minimal harm or potential for actual harm, and noted that few residents were affected. Those characterizations are the regulatory floor, not a reassurance. "Potential for actual harm" means the harm had not yet been confirmed, not that it could not occur.
Whether R1's family, already responsible for that billing statement, received any surprise charges after a July discharge is not something the inspection report addresses. Whether R14 understood what costs were coming after an August 1 discharge, the report does not say.
What it says is that two people left a skilled nursing facility this summer without the notice they were owed, and that the people responsible for delivering it could not show an inspector it had ever been sent.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Abbeyville Skilled Nursing and Rehabilitation Cent from 2025-08-19 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 4, 2026 · Our methodology
ABBEYVILLE SKILLED NURSING AND REHABILITATION CENT in LANCASTER, PA was cited for violations during a health inspection on August 19, 2025.
The facility's own administrators confirmed it.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.