Every finding on record at Adoration Home Health Acquisitions, LLC

*EMERGENCY PREPAREDNESS* Survey conducted on 06/30-07/02/2025 revealed the above facility meets all applicable Federal, State and local emergency preparedness requirements. No deficiencies were cited.

*VICKSBURG * The Medicare Recertification survey conducted 06/30-07/02/2025 revealed the above facility has met all Medicare Conditions of Participation for Home Health Agencies (HHA). However, Standard-level deficiencies were cited. ___________________

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 staff interviews, policy and procedure review, and review of the facility report “HHA Error Summary by Agency”, the facility failed to encode and electronically transmit each completed Outcome and Assessment Information Set (OASIS) assessment within 30 days of completing the assessment of the beneficiary for 330 patients in the past 12 months: 06/01/2024-05/31/2025. Findings Include: An Interview with Area Vice President (AVP) of Clinical Operations on 07/01/2025 at 12:45 p.m. confirmed she is aware of the agency deficiency regarding timely OASIS submissions. She also confirmed that Corporate has a department that handles the OASIS submission to Centers for Medicare & Medicaid Services (CMS). eview of the facility’s Internet Quality Improvement and Evaluation (iQIES) Report, “HHA Error Summary by Agency” for the report period of 06/01/2024-05/31/2025 revealed, Error # -3330 for 330 patient assessments submitted late more than 30 days after completing the assessment of the beneficiary. Review of the facility’s policy, “Oasis Outcome and Information Set”, revised 06/09/2025, confirmed , “…An Home Health Agency must encode and electronically transmit each completed OASIS assessment to the CMS system…within 30 days of completing the assessment of the beneficiary…the agency complies with Oasis date collection and submission requirements as outlined in the Conditions of Participation, electronically submitting Oasis data within 30 days of completing the Oasis assessment…”. During the Exit Conference on 07/02/2025 at 3:30 p.m. with the Area Vice President of Clinical Operations and the Director of Operations, survey findings were discussed, and no further documentation was submitted for review.