Lodi Nursing & Rehabilitation
LODI NURSING & REHABILITATION in LODI, CA — inspection on September 8, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review, the facility failed to provide the required Skilled Nursing Facility Advance Beneficiary Notice (SNF ABN: a notice that informs residents of changes to their Medicare Part A coverage for the purpose of determining financial liability for expenses incurred for extended care items or services furnished to a beneficiary and for which Medicare does not pay) to one of one sampled resident (Resident 2) reviewed for Medicare benefit notification after skilled services ended.This failure had the potential for Resident 2 not to be able to make informed decisions about his care and finances, being unaware of his right to appeal and placed him at risk for unexpected medical bills.During a concurrent interview and record review on 8/6/25, at 2:48 PM, the Admissions Coordinator (AC) stated Resident 2's Medicare Part A skilled services coverage ended on 7/23/25.
The AC stated Resident 2 continued to stay in the facility after his skilled care ended.
The AC confirmed that Resident 2's Medicare eligibility benefits document indicated that Resident 2 had 46 Medicare days remaining.
The AC stated the SNF ABN notice should have been issued to Resident 2 when his skilled services coverage ended on 7/23/25 and he continued to remain at the facility.
The AC further stated that without the SNF ABN, the resident might not know his rights.During a concurrent interview and record review on 8/6/25, at 12:40 PM, the Social Services Director (SSD) confirmed that Resident 2 was discharged from Medicare Part A services on 7/23/25, but Resident 2 remained in the facility as a long term care resident.
The SSD further confirmed there was no indication in Resident 2's medical record that the SNF ABN was provided to Resident 2.During a concurrent interview and record review on 8/6/25, at 1:13 PM, the Director of Nursing (DON) stated Resident 2 was scheduled for discharge on [DATE], but remained in the facility and transitioned to long term care.
The DON stated further Resident 2's last Medicare-covered day was 7/23/25.
The DON stated the SNF ABN notice should be given to residents three days before the last covered day, so the residents knew their rights and had a chance to appeal.
The DON confirmed that the SNF ABN notice was not provided to Resident 2.
The DON stated that not providing the SNF ABN could lead to unexpected billing for the residents.Review of an undated facility policy titled, Advance Beneficiary Notices, indicated, .The facility shall inform Medicare beneficiaries of his or her potential liability for payment. A liability notice shall be issued to Medicare beneficiaries upon admission or during a resident's stay, before the facility provides: (a.) An item or service that is usually paid for by Medicare .or (b.) Custodial Care .For Part A items and services, the facility shall use the Skilled Nursing Facility Advance Beneficiary Notice (SNF ABN), Form CMS-10055.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/08/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Lodi Nursing & Rehabilitation
1334 S.
Ham Lane Lodi, CA 95242
SUMMARY STATEMENT OF DEFICIENCIES
patient education and caregiver training.A review of an undated facility policy and procedure (P&P) titled, Falls and Fall Risk, Managing, indicated, .the staff will identify interventions related to the resident's specific risks and causes to try to prevent the resident from falling and to try to minimize complications from falling .A review of an undated facility P&P titled, Safety and Supervision of Residents, indicated, .Resident safety and supervision and assistance to prevent accidents are facility-wide priorities.
Systems Approach to Safety.2.
Resident supervision is a core component of the system's approach to safety.
The type and frequency of resident supervision is determined by the individual resident's assessed needs and identified hazards in the environment.A review of an undated facility P&P titled, Care Plans, Comprehensive Person-Centered, indicated, .Assessments of residents are ongoing and care plans are revised as information about the residents and the residents' conditions change.The comprehensive person-centered care plan will.m.
Aid in preventing or reducing decline in the resident's functional status and/or functional levels. n.
Enhance the optimal functioning of the resident by focusing on a rehabilitative program.A review of the facility P&P titled, Documentation Requirements, revision date 1/1/17, indicated, .Each Rehabilitation Services resident/patient had medical record of care and treatment which includes subsequent referrals, initial evaluations and plan of care, copies of daily notes, copies of progress notes, and treatment care plans.A review of an undated facility policy and procedure (P&P) titled, Progress Notes, indicated, .Progress notes shall be maintained for each resident who is receiving specialized rehabilitative services.
Progress notes reflect the resident's progress and response to his or her care plan, medication, etc.
Progress notes must be recorded monthly and whenever changes occur in the resident's condition.
Such information must be recorded by the Therapy Service responsible for entering such date on the appropriate progress record.
Facility ID: