Every finding on record at All Your Home Health, Incorporated

Purpose: Recertification and Relicensure Survey An entrance conference was conducted on 03/25/24 at 2:30 p.m., with the Administrator/Supervising Nurse. Agency Census: Licensed & Certified Home Health Services (L&CHHS) – 0 Licensed Home Health Services (LHHS) – 0 Personal Assistance Services (PAS) – 5 An exit conference was conducted on 03/28/24 at 5:15 p.m., with the Administrator/Supervising Nurse. The preliminary findings were discussed, and the Administrator/Supervising Nurse was offered the opportunity to provide additional information. The agency was in compliance with federal and state requirements. No deficiencies/violations were cited.

Purpose: Recertification and Relicensure Survey An entrance conference was conducted on 03/25/24 at 2:30 p.m., with the Administrator/Supervising Nurse. Agency Census: Licensed & Certified Home Health Services (L&CHHS) – 0 Licensed Home Health Services (LHHS) – 0 Personal Assistance Services (PAS) – 5 An exit conference was conducted on 03/28/24 at 5:15 p.m., with the Administrator/Supervising Nurse. The preliminary findings were discussed, and the Administrator/Supervising Nurse was offered the opportunity to provide additional information. The Administrator/Supervising Nurse was provided with written instructions for submitting a plan of correction within 10 days of the receipt of the Statement of Deficiencies/Violations. Acronyms: OASIS – EMR – PT –

Skilled services furnished CFR(s): 484.105(f) Standard: Services furnished. Skilled nursing services and at least one other therapeutic service (physical therapy, speech-language pathology, or occupational therapy; medical social services; or home health aide services) are made available on a visiting basis, in a place of residence used as a patient's home. An HHA must provide at least one of the services described in this subsection directly, but may provide the second service and additional services under arrangement with another agency or organization. This STANDARD is not met as evidenced by: Based on record review and interview the Licensed and Certified agency failed to provide skilled nursing services and at least one other therapeutic service in accordance with current clinical practice guidelines, in that the agency did not provide skilled nursing services since the agency’s last discharged patient in May of 2021. This failure placed the agency to be out of compliance with regulatory requirements. Based on record review and interview the Licensed and Certified agency failed to provide skilled nursing services and at least one other therapeutic service in accordance with current clinical practice guidelines, in that the agency did not provide skilled nursing services since the agency’s last discharged patient in May of 2021. This failure placed the agency to be out of compliance with current clinical practice. The Findings included: Pre-Survey review of the iQIES Reports run from 01/22/22 – 12/22/22 revealed that the agency had not submitted to Outcome and Assessment Information Set (OASIS), any patients for start of care, resumption of care, recertification, transfer, or discharge. During the entrance conference conducted on 03/25/24 at 2:30 p.m., the Administrator/Supervising Nurse stated that, “he is currently not providing any skilled services.” He further stated that the agency that had not admitted any L&C patients since their last recertification survey conducted 03/11/21, and that the last active patient was discharged in May of 2021. During this same interview, the Surveyor asked the Administrator/Supervising Nurse if he informed the OASIS Coordinator that the agency had not provided skilled services since May of 2021 and the Administrator/Supervising Nurse responded, “No.”