Every finding on record at At Home Health Services LLC

Based on the findings of an unannounced on-site Medicare recertification survey conducted on February 17, 2021 through February 19, 2021, At Home Health Services was found to be in compliance with the requirements of 42 CFR, Part 484.22, Subpart B, Conditions of Participation: Home Health Agencies - Emergency Preparedness.

Based on the findings of an unannounced on-site Medicare recertification survey conducted on February 17, 2021 through February 19, 2021, At Home Health Services was found not to be in compliance with the requirements of 42CFR, Part 484, Subparts & C, Conditions of Participation: Home Health Agencies.

Ensure that HHA employs qualified personnel CFR(s): 484.105(b)(1)(iv) (iv) Ensure that the HHA employs qualified personnel, including assuring the development of personnel qualifications and policies. This ELEMENT is not met as evidenced by: Based on the review of personnel files, agency policy and procedures, and interview with the administrator, the agency failed to ensure the documentation of staff annual evaluation for three (3) of four (4) personnel files. Personnel files # 2, 3 and 4. Findings: Review of policy on February 19, 2021 at 1500 titled " Performance Evaluations " states " Performance evaluations will be completed one year from each employee ' s initial date of hire and annually thereafter annually. " Review of personnel file on February 19 at 3 pm revealed: Review of personnel record # 2 with the date of hire on February 4, 2014, no documentation of annual evaluation for 2018, 2019 and 2020. Review of personnel record # 3 with the date of hire on June 3, 2017, no documentation of annual evaluation for 2018, 2019 and 2020. Review of personnel record # 4 with the date of hire on January 20, 2012, no documentation of annual evaluation for 2018, 2019 and 2020. Interview with the owners and the administrator on February 19, 2021 at 1530 confirmed that there was no documentation of annual evaluation.