Every finding on record at Abasi Home Healthcare, Inc.

PURPOSE OF VISIT: RECERTIFICATION ENTRANCE CONFERENCE DATE: 06/08/2026 CENSUS TOTAL: 9 LHHS– 0 PAS – 8 LCHHS –1 The agency was in compliance with the Medicare Conditions of Participation for Emergency Preparedness and no deficiencies were cited. ABBREVIATIONS: PAS – PERSONAL ASSISTANCE SERVICES LHHS – LICENSED HOME HEALTH SERVICES LCHHS – LICENSED AND CERTIFIED HOME HEALTH SERVICES

PURPOSE OF VISIT: RECERTIFICATION ENTRANCE CONFERENCE DATE: 06/08/2026 CENSUS TOTAL: 9 LHHS– 0 PAS – 8 LCHHS – 1 ABBREVIATIONS: CMS – CENTERS FOR MEDICARE AND MEDICAID SERVICES PAS – PERSONAL ASSISTANCE SERVICES LHHS – LICENSED HOME HEALTH SERVICES LCHHS – LICENSED AND CERTIFIED HOME HEALTH SERVICES AGENCY HHA – HOME HEALTH AGENCY IQIES – INTERNET QUALITY IMPROVEMENT AND EVALUATION SYSTEM OASIS – OUTCOME AND ASSESSMENT INFORMATION SET M0900 – COMPREHENSIVE PATIENT ASSESMENT DATE

Encoding and transmitting OASIS CFR(s): 484.45(a) Standard: An HHA must encode and electronically transmit each completed OASIS assessment to the CMS system, regarding each beneficiary with respect to which information is required to be transmitted (as determined by the Secretary), within 30 days of completing the assessment of the beneficiary. This STANDARD is not met as evidenced by: Based on interview and record review, the agency failed to encode and electronically transmit each completed OASIS assessment to the CMS system regarding each beneficiary within 30 days of the comprehensive patient assessments being completed for 38% (8 of 21) patient assessments completed and transmitted between the dates of 6/01/2025 to 6/01/2026. "CMS system" means the national internet Quality Improvement Evaluation System (IQIES). “OASIS assessment” means the (functional, clinical, and service data items used to evaluate patients during prescribed timepoints to evaluate care needs, outcomes, and quality of care provided by home health agencies). "Encode" means to enter OASIS information into a computer. "Transmit" means electronically send OASIS information, from the HHA directly to the CMS system. This failure meant patients were subjected to the potential for poor quality care when the agency did not evaluate care needs and outcomes in a timely manner. Review of the IQIES HHA Error Summary by Agency Report for the dates – 6/01/2025- 6/01/2026 which was run on 6/11/2026 resulted in the error -3330, Record Submission Late: The submission date is more than 30 days after M0090 (comprehensive patient assessment date) for 8 of 21 assessments resulting in a 38.10% error rate. An interview was conducted on 06.11.26 11:30 AM with the Administrator and RN Case Manager A, who completed and signed the OASIS patient assessments reviewed during the survey. The surveyor asked what the process was for OASIS collection, encoding, and transmission, and who was responsible for ensuring the OASIS was transmitted in a timely manner. RN A stated they collected during patient assessments, and RN A was responsible for encoding and transmission. The surveyor asked about the agency’s policy on timelines for OASIS collection, encoding and transmission. RN A stated they completed the assessments within 2 weeks of the patient visit. RN A stated the DON for the agency then conducted a Quality Assurance review of the assessment which was completed the same day or next day after RN A completed the assessments. RN A stated they also coded and validated the codes. RN A stated they had 24 hours to make any corrections after the DON review, and then the DON reviewed again, and gave approval to export to CMS through the IQIES system. RN A stated they were responsible for exporting the completed assessments. The surveyor asked how often the agency was exporting the assessment data to CMS through the IQIES system. RN A stated every 60 days. The surveyor asked the Administrator if they were aware of the process and timelines. The Administrator stated they were aware and had no additional comments on why the deficient practice was occurring. The Administrator stated, “this is something we need to look into and do better.” Review of the agency policy titled, “Timelines IM (Information Management).35 last reviewed 01012026” read in part, “Policy- The Agency will ensure timely provision of care and services to meet the patient’s / client’s needs in compliance with all federal and state laws and regulations. Procedure … A registered nurse … will complete the Initial Comprehensive assessment no later than five calendar days after the start of care (SOC) for all patient/clients in a licensed and certified agency, regardless of payer… or …all completed and encoded OASIS data…will be transmitted using electronic communications software…within thirty (30) days of the M00900 (date the comprehensive assessment was completed) date.”