Every finding on record at Cuero Home Health Inc

An entrance conference was conducted on 07/07/2025 with the agency Administrator for re-certification survey. Census: Licensed and Certified (L&C)-24 Licensed Home Health (LHH)-0 Abbreviations: Adm- Administrator Alt Adm- Alternate Administrator HHSC-Health and Human Services Commission STEAR-State of Texas Emergency Assistance Registry

An entrance conference was conducted on 07/07/2025 with the agency Administrator for re-certification survey. Census: Licensed and Certified (L&C)-24 Licensed Home Health (LHH)-0 Abbreviations: Adm- Administrator Alt Adm- Alternate Administrator HHSC-Health and Human Services Commission HR-hour QAPI- Quality Assessment Performance Improvement Plan

Governing body CFR(s): 484.105(a) Standard: Governing body. A governing body (or designated persons so functioning) must assume full legal authority and responsibility for the agency's overall management and operation, the provision of all home health services, fiscal operations, review of the agency's budget and its operational plans, and its quality assessment and performance improvement program. This STANDARD is not met as evidenced by: Based on record review and interviews, the agency failed to establish a governing body composed of individuals of its choosing who would have the legal authority to assume responsibility for assuring that management and operation of the agency is effective and operating within all legal bounds. This failure could place the agency’s active clients at risk of inadequate provision of services and could also result in unsafe, unprofessional and substandard care. The finding included: Record review of organizational chart titled Emergency Phone Tree. Organizational chart revealed the agency did not have a governing board in place. During an interview on 07/07/2025 with the Adm at 2:30 pm, revealed she thought that the Emergency Phone Tree was the organizational chart, she stated she would look again to see if an organizational chart was in another place. During an interview and record review on 07/08/2025 at 2:22 pm with the Adm gave the Surveyor a new organizational chart on agency letter head undated that noted “Texas Health and Human Services Commission” as the first tier of the organizational chart. Surveyor asked if there was any reason why the Texas Health and Human Services Commission” was on the organizational chart, the Adm stated “I thought they were the one who were in charge of our governing board”. She went on to say “I am not sure who should be on the governing board. During an interview on 07/11/2025 at 9:45 am with the Alt Adm/Owner he stated he was not sure who should be on the governing board. No other information was given prior to exit.