Ansley Cove Healthcare And Rehabilitation
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 refund any and all monies due to the resident's representative within 30 days of the resident's date of death /discharge from the facility for 1 of 3 residents reviewed for discharge, of a total sample of 3 residents, (#1).Findings:Resident #1 resided at the facility for approximately nine years and passed away on [DATE REDACTED]. Review of the resident #1's Medicaid eligibility/benefit dated [DATE REDACTED] indicated the resident's gross monthly income to be $1159.22. Per the benefit, the resident was entitled to keep $160.00 a month to meet her personal needs. Review of the billing reconciliation reflecting the account from [DATE REDACTED] to [DATE REDACTED], revealed the resident's husband paid the monthly patient responsibility of $314.92 from the couples joint checking account.Further review of resident #1's billing reconciliation noted the patient responsibility of $314.92 continued to be drawn from the joint checking account in [DATE REDACTED], after the resident had died 13 days earlier. Review of emails from the Business Office Manager to the corporate office from [DATE REDACTED], and [DATE REDACTED] revealed the corporate office accounting was notified by the Business Office Manager of resident #1's death and asked to remove resident #1 from
the Automated Clearing House (ACH) payment.Review of emails dated [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], [DATE REDACTED], and [DATE REDACTED] revealed the facility was aware the resident's husband was requesting the refund from her account. An email dated [DATE REDACTED] detailed the corporate office communication to the Business Office Manager and the Administrator which reported, the family is due a much bigger refund than what was originally thought.On [DATE REDACTED] at 12:50 PM, the Corporate Regional Director of Operations verified resident #1's husband was owed a refund and was not sure what caused the delay. It was acknowledged that at the time of the survey the facility owed the resident's husband a refund of $1,905.35, over four months after she had passed away.On [DATE REDACTED] at 12:53 PM, the Administrator confirmed the resident's family still had not received the refund from the facility. He said the facility's Business Office Manager did not have the authority to cut refund checks and they had been waiting for the corporate office to process the refund.Review of the facility's policy entitled Refund Policy/Procedure, Subject: Death of a Resident in a Facility, revised on [DATE REDACTED] indicated it was the policy of the facility to provide services related to the death of
a resident in a facility in accordance with state and federal regulations. Procedure 1 indicated, the facility must, upon the death of a resident with a personal fund deposited with the facility or advanced payments, convey within 30 days of the resident's death, a final accounting of those funds to the individual or probate jurisdiction administering the resident's estate.
Residents Affected - Some
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:
ANSLEY COVE HEALTHCARE AND REHABILITATION in MAITLAND, FL 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 MAITLAND, FL, (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 ANSLEY COVE HEALTHCARE AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.