Woodland Post-acute
Inspection Findings
F-Tag F0569
F 0569
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and record review, the facility failed to follow their Policy and Procedures to process a refund for one of four sampled residents (Resident 1) when the resident's share of cost (the amount of money an individual is responsible to pay towards their medical related services, supplies, or equipment before Medi-Cal will begin to pay) was not returned to the family within 60 days upon Resident 1's death.This failure had the potential to result in fiduciary abuse and a violation of Resident 1's rights. Findings:A review of Resident 1's admission Record indicated; Resident 1 was admitted to the facility in 2020 with a diagnoses that included Encephalopathy (a disease in which the functioning of the brain is affected by some agent or condition). The admission Record further indicated Resident 1 was their own responsible party. A review of Resident 1's Minimum Data Set (MDS - an assessment tool used to guide care) Cognitive (having full understanding) Patterns, dated [DATE REDACTED], indicated Resident 1 had a Brief Interview for Mental Status (a tool to assess a person's full understanding) score of 14 which indicated Resident 1 had full understanding. During an interview with the Business Office Manager (BOM) on [DATE REDACTED] at 10:57 a.m., the BOM stated the Business Office records indicated $187.97 was owed to Resident 1's family. The BOM further stated, I didn't know why the money has not been returned. During a concurrent interview and
record review with the BOM on [DATE REDACTED] at 12:17 p.m., the BOM stated, Our policy indicated the money should have been returned to the family within 60 days of Resident 1's death. During an interview with the Administrator (ADM) on [DATE REDACTED] at12:32 p.m., the ADM stated, The expectation is that we follow our policy and if the policy says we should have returned the money within 60 days, then we are at fault. During a concurrent interview and record with the ADM and BOM on [DATE REDACTED] at 12:37 p.m., the ADM and BOM verified Resident 1 expired on [DATE REDACTED] and as of [DATE REDACTED], Resident 1's money has not been returned within
the 60 days as per there policy. A review of the Business Office records indicated Resident 1 had a Share of Cost overpayment owed back to them of $187.97 for the month of [DATE REDACTED]. A review of the Outstanding Account report indicated, the BOM had first corresponded with the complainant on [DATE REDACTED] at 2:42 p.m. The BOM noted complainant, Asked about refund for Share of Cost. A review of the facility policy titled, A/R Refunds Policy and procedure dated 6/2023 indicated, Overpayments shall be refunded no later than 60 days from when the overpayment was identified, according to CMS 6037-F Final Rule .
Residents Affected - Few
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
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
WOODLAND POST-ACUTE in WOODLAND, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in WOODLAND, CA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from WOODLAND POST-ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.