Every finding on record at Efficient Home Care, Inc.

A recertification survey attempt was made on 5/24/22 at 9:49 a.m. Agency census: 12 Surveyors left the agency premises at 11:26 a.m. unable to conduct the survey. The Administrator was informed via telephone that violations would be cited.

A recertification survey attempt was made on 5/24/22 at 9:49 a.m. Agency census: 12 Surveyors left the agency premises at 11:26 a.m. unable to conduct the survey. The Administrator was informed via telephone that violations would be cited. Abbreviations Used: Adm – Administrator Alt Adm – Alternate Administrator DADS – Department of Aging and Disability Services DON – Director of Nursing/Supervising Nurse HHSC – Health and Human Services Commission PAS- Personal Assistance Services LHHS- Licensed Home Health Services TULIP - Texas Unified Licensure Information Portal

Responsible for all day-to-day operations CFR(s): 484.105(b)(1)(ii) (ii) Be responsible for all day-to-day operations of the HHA; This ELEMENT is not met as evidenced by: Based on record review and interview, the administrator failed to manage the daily operations of the agency in that administrator did not make sure that agency staff were available to allow HHSC surveyors entry into the agency to conduct a recertification and re-licensure survey. This failure did not allow surveyors to conduct a survey to ensure the agency complied with rules and regulations governing home health agencies. Findings include: According to the Texas Administrative code §558507(a) “By applying for or holding a license, an agency consents to entry and survey by a HHSC representative to verify compliance with the Statute or this chapter.” During pre-survey preparation and review of web-based licensure system TULIP [L2] (a database utilized by the state to maintain licensing, demographic information, complaints and self-reported incidents on Home Health and Hospice agencies for the State of Texas) showed Adm as the Administrator and Alt Adm as the Alternate Administrator. Further review of TULIP showed the agency’s operating hours as Monday through Friday 9:00AM - 5:00PM. On 05/24/2022 at 9:49 a.m., the surveyors arrived at the agency address listed in TULIP to conduct a re-certification and re-licensure survey. The agency was closed. The Lead Surveyor [L3] called the agency after-hours number posted on the agency door. The call was answered by a female who identified herself as the DON. DON stated she would be on her way to the agency in an hour. On 5/24/22 at 10:45 a.m. The Lead Surveyor again called DON to find out if she had arrived at the agency. DON stated that she could not make it to the agency because she was out of town. DON added that the Adm and Alt Adm were also not available for the survey. DON further stated that the agency had no one available to let the Surveyors into the agency or to provide records for survey. The DON stated that the agency had 12 active clients. Interview on 5/24/22 at 11:22 a.m. with Adm via telephone[L4] , she stated that both herself and the DON were out of town and the Alt Adm was working at another job and could not leave her job for the survey. Surveyors left the agency premises at 11:26 a.m. unable to conduct the survey. A copy of MEMO 17-01: Inability to Access Records or Perform a Survey by the DADS (now HHSC) was emailed to the agency’s email address in TULIP.