**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interviews, the facility failed to provide the required Centers for Medicare and Medicaid Services (CMS) Notice of Medicare Non-Coverage (NOMNC) (form 10123) for 1 of 3 sampled residents reviewed for beneficiary protection notification review (Resident #49). The findings included: Resident #49 was admitted to the facility on [DATE] with Medicare Part A skilled services. Resident #49's Annual Minimum Data Set (MDS) assessment dated [DATE] revealed she was severely cognitively impaired. Resident #49's Medicare Part A skilled services ended on 4/08/2024 and her Medicare Part A Skilled Nursing Facility benefit was not exhausted. She remained in the facility. Record review revealed no evidence that Resident #49 or the resident's Responsible Party (RP) was provided with the NOMNC. During an interview with the Secretary Assistant on 11/31/2024 at 10:51AM, she stated she provided the RP with the Skilled Nursing Facility Advance Beneficiary Notice (SNFABN) on 03/25/2024 but she failed to provide NOMNC notice. The Secretary Assistant stated she was not aware she should have provided the RP with the NOMNC notice due to the resident remaining in the facility and still having Medicare Part A days remaining. The Secretary Assistant indicated moving forward she would provide the NOMNC notice to the residents or RP as required by the federal guidelines. During an interview with the Administrator on 11/31/2024 at 11:05 AM, she stated Resident #49 remained in the facility after being discharged from rehab services and the RP should have received the NOMNC as required by the federal guidelines.