Every finding on record at Eraj Holdings LLC

An unannounced Home Health Agency recertification survey was conducted on March 26, 2024 through March 27, 2024, by one (1) Medical Facilities Inspector from the Virginia Department of Health, Office of Licensure and Certification. In conjunction with this survey, the agency's emergency preparedness plan was reviewed. The agency was found to be in compliance with 42 CFR 484.102 Conditions of Participation Emergency Preparedness for Home Health Agencies.

An unannounced Medicare/Medicaid Home Health Recertification survey was conducted at the above noted agency March 26, 2024 through March 27, 2024, by one Medical Facilities Inspector from the Virginia Department of Health, Office of Licensure and Certification. The agency was found to be out of compliance with the federal requirements of 42 CFR 484, the Medicare/Medicaid Conditions for Participation of Home Health Agencies.

Discharge and transfer summaries CFR(s): 484.110(a)(6)(i-iii) (i) A completed discharge summary that is sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the HHA (if any) within 5 business days of the patient's discharge; or (ii) A completed transfer summary that is sent within 2 business days of a planned transfer, if the patient's care will be immediately continued in a health care facility; or (iii) A completed transfer summary that is sent within 2 business days of becoming aware of an unplanned transfer, if the patient is still receiving care in a health care facility at the time when the HHA becomes aware of the transfer. This ELEMENT is not met as evidenced by: Based on review of clinical records and staff interview, it was determined the agency failed to send the patient's transfer summary to the physician within 2 business days of becoming aware of an unplanned transfer for one (1) of two (2) patients who were transferred and/or discharged (Clinical Record for Patient #3). Findings: Two closed clinical records were reviewed on 03/27/2024 with electronic read only access with the following findings: 1. The clinical record for Patient #3 was transferred from the agency on 12/19/2023. The clinical record revealed a transfer summary was sent to the primary physician on 12/26/2023; 7 days later. On 3/27/2024 at 11:40 am, the Medical Facilities Inspector asked the Administrator if he/she were aware of the late transfer summary for the above patient. The Administrator confirmed and agreed with the above noted findings and explained that is was scheduled for the therapist to send to the primary physician but the therapist failed to do so in a timely manner. The lack of providing a transfer to the physician within 2 business days was acknowledged prior to and during the exit conference with the Administrator during the exit conference conducted on 3/27/2024.