Abbeyville Skilled Nursing: Medicare Notice Failures - PA
That is what federal inspectors concluded after an August complaint inspection at the facility on Abbeyville Road. The finding was narrow in scope, affecting two of seven residents whose records were reviewed. But the paperwork that went missing, a form called the Notice of Medicare Non-Coverage, exists for a specific reason: to give patients and their families time to make financial decisions before the bill arrives.
The first resident, identified in the inspection report as Resident R1, was discharged from skilled services and left the facility on July 1, 2025. Inspectors pulled both the electronic medical record and the paper chart. Neither contained the required notice. There were no progress notes indicating that anyone had communicated the substance of that notice to the family member responsible for R1's billing.
The second resident, Resident R14, was discharged on August 1, 2025. The electronic record contained no notice and no notes reflecting that the information had been shared with R14 in any form.
The Notice of Medicare Non-Coverage is supposed to be delivered at least two calendar days before Medicare-covered services end. The point is not bureaucratic. A resident who doesn't know Medicare is ending has no opportunity to appeal, arrange alternative coverage, or prepare for out-of-pocket costs. A family member managing a loved one's finances is in the same position. The clock runs out, the discharge happens, and the bill appears without warning.
On August 4, the Director of Social Services, identified in the report as Employee E8, sat for an interview with inspectors at 1:17 in the afternoon. She confirmed that the facility could not produce evidence that a Notice of Medicare Non-Coverage had been issued to either resident or their representatives.
Three days later, on August 7, the Nursing Home Administrator confirmed the same thing. The facility had failed to provide timely Medicare non-coverage notice to two of the seven residents whose records were examined.
That is where the paper trail ends. The inspection report does not describe what happened to either resident financially after discharge, whether appeals were filed, or whether anyone from the facility reached out to the affected families once the gap was identified. The administrator's confirmation closed the loop on the deficiency finding. What it did not close was the question of what R1's family member, the one managing the billing, was told and when.
The violation was cited at a level of minimal harm or potential for actual harm, and the number of residents affected was classified as few. Those designations reflect the inspection framework's assessment of scale and severity. They do not reflect what it means to be the person opening an unexpected bill.
Abbeyville Skilled Nursing and Rehabilitation Center carries the CMS provider identification number 395199. The inspection was completed on August 19, 2025, and the deficiency was cited under Pennsylvania state code provisions covering licensee responsibility, management, and resident rights, alongside the federal Medicare notice requirement.
The facility's plan of correction was not included in the document reviewed for this report.
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: July 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.
That is what federal inspectors concluded after an August complaint inspection at the facility on Abbeyville Road.
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.