Deficiency Index

Every finding on record at Csra Home Health Agency Columbia, Inc.

Thomson, Georgia · CCN 117108

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 January 15, 2025

3 findings
E0000

A Recertification survey was conducted at CSRA Home Health Agency Columbia on January 13, 2025, and concluded on January 15, 2025. At the time of the survey, the agency was in compliance with 42 CFR Part 418.113, Emergency Preparedness and Covid-19 infection control.

G0000

A Recertification survey was conducted at CSRA Home Health Agency Columbia on January 13, 2025, and concluded on January 15, 2025. At the time of the survey, the agency was not in compliance with Chapter 42 CFR Part 418, Rules and Requirements for Home Health and Hospice Agencies. The census was 186. The following deficiency was 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 the Centers for Medicare & Medicaid Services (CMS) Home Health Agency (HHA) Error Summary by agency report, and staff interview, it was determined that the agency failed to electronically transmit Outcome and Assessment Information Set (OASIS) data to CMS system every 30 days. Findings include: Review of CMS report titled “HHA Error Summary by Agency,” with a run date of 12/31/2024, and a report period of 01/01/2024-12/31/2024, revealed the agency failed to transmit OASIS data to the CMS system within 30 days. On 1/13/2024 at 11:00 a.m., during an in-office interview, the Clinical Manager (CM) and the Administrator, the CM confirmed awareness of the 30-day OASIS submission time frame requirements not met during the time frame of 01/2024 through 12/31/2024. The CM explained the agency OASIS reviewing and submission process was undergoing a new process by submitting the information. The Administrator also said that they sent a letter to CMS explaining the reason why the OASIS submission was late.

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

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