Deficiency Index

Every finding on record at Amedisys Mississippi, LLC

Biloxi, Mississippi · CCN 257100

3 findings across 1 survey, in the inspector's own words.

The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.

Survey of August 27, 2025

3 findings
E0000

*EMERGENCY PREPAREDNESS* Survey conducted 08/25-08/27/2025 revealed the above facility meets all applicable Federal, State and local emergency preparedness requirements. No deficiencies were cited.

G0000

*BILOXI * The Medicare Recertification survey conducted08/25-08/27/2025 revealed the above facility has met all Medicare Conditions of Participation for Home Health Agencies (HHA). However, Standard-level deficiencies were cited. ___________________

G0372

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 review of “Home Health Agency (HHA) Error Summary by Agency”’ the facility failed to encode and electronically transmit each completed Outcome and Assessment Set (OASIS) assessment within 30 days of completing the assessment of the beneficiary for 42 patients between the dates of 08/22/2024 – 08/22/2025. Findings Include: During an interview on 08/27/2025 at 12:15 p.m, The Area Vice President (AVP) revealed the facilities oasis assessments hit so many hands before it transmits to the state, It’s transmitted to the clinical manager to the oasis coding specialist. Then it goes back to the clinical manager. Then it is transmitted to the corporate team before the submission to the state. Further she revealed they have drawn up a corrective action plan that will be included in our action plan. Review of the facility’s Internet Quality Improvement and Evaluation (IQIES) Report, “HHA Error Summary by Agency “for report period 08/22/2024 – 08/22/2025 revealed error code #-333 for 42 records submitted more than 30 days late for 42 of 1651 assessments completed with error rate of 2.54 %. Review of the facility’s policy, “Oasis Outcome and Information Set”, revised 06/09/2025, confirmed , “…A 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 08/27/2025 at 2:30 p.m. with the Area Vice President of Clinical Operations and the Facility Administrator, survey findings were discussed, and no further documentation was submitted for review.

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Federal survey findings only. State licensure findings for home health agencies are not shown.

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