Every finding on record at Credence Home Health Services Inc

An Emergency Preparedness recertification survey was initiated on 07/11/2025. Census: Licensed and Certified- 5 Licensed Home Health- 26 Personal Assistance Services- 49 Agency remained in compliance with Conditions of Participation for Emergency Preparedness, no deficiencies were cited.

A recertification survey was initiated on 07/11/2025. Census: Licensed and Certified- 5 Licensed Home Health- 26 Personal Assistance Services- 49 Acronyms: HR- Human resources HHA- Home Health Agency hha- home health aide

Documentation of competency evaluation CFR(s): 484.80(c)(5) The HHA must maintain documentation which demonstrates that the requirements of this standard have been met. This ELEMENT is not met as evidenced by: Based on record review and interview, the agency failed to ensure documentation of the observed performance evaluation of tasks listed at 484.80(b)(3)(i), (iii), (ix), (x) and (xi) were evaluated by observation for 1 (hha C) of 3 hha employed by the agency in that no evidence of documentation was found for observed hha skills competencies completed. This failure potentially placed patients who received hha services at risk for receiving substandard or unsafe care when competency could not be verified. FINDINGS INCLUDE: According to the federal regulations for home health agencies: [§484.80c) Standard: Competency evaluation. An individual may furnish home health services on behalf of an HHA only after that individual has successfully completed a competency evaluation program as described in this section.] “484.80(c)(1) The competency evaluation must address each of the subjects listed in paragraph (b)(3) of this section. Subject areas specified under paragraphs (b)(3)(i), (iii), (ix), (x), and (xi) of this section must be evaluated by observing a aide’s performance of the task with a patient or pseudo-patient…. (i) Communication skills, including the ability to read, write, and verbally report clinical information to patients, representatives, and caregivers, as well as to other HHA staff. (iii) Reading and recording temperature, pulse, and respiration. (ix) Appropriate and safe techniques in performing personal hygiene and grooming tasks that include— (A) Bed bath; (B) Sponge, tub, and shower bath; (C) Hair shampooing in sink, tub, and bed; (D) Nail and skin care; (E) Oral hygiene; (F) Toileting and elimination; (x) Safe transfer techniques and ambulation; (xi) Normal range of motion and positioning; …” An active employee list provided by the HR Supervisor on 07/11/2025 that included the date of hire for hha C, 03/05/2025. Review of the personnel record for hha C revealed a signed job description for “Home Health Aide” signed by hha C and dated 03/05/2025. A form titled, “Attendant Competency checklist” was included in the personnel file and did not contain all required elements for a hha competency. The record did not include a hha competency evaluation for hha C. No observed skills competency evaluation was found in the record for hha C. In an interview with the Administrator on 07/17/2025 at approximately 4:00 PM, the surveyor reviewed the findings and asked if hha C performed a skills competency evaluation. The Administrator stated the agency only had one hha (hha C) that was providing services for a patient at this time and stated he thought the hha’s skills competency was completed with form “Attendant Competency checklist.” The surveyor reviewed the “Attendant Competency checklist” with the Administrator and stated the form did not include hha skills competency. The Administrator stated he was sure the hha competency was completed, but the documentation must be misplaced. Agency policy, dated 05/01/2024, quoted in part, “2.8 HOME HEALTH AIDE COMPETENCY EVALUATION/ REQUIREMENTS, … Evaluation process: … The completed competency evaluations documentation will be kept in the employee’s personnel file and will be administered annually as a skills review/ check-off. …”