Every finding on record at Faithful Home Care Solutions, LLC

Based on the findings of an onsite unannounced home health agency Medicare recertification survey conducted July 27, 2022, and July 28, 2022, Faithful Home Care Solutions, LLC was found to be in compliance with the requirements of 42 CFR, Part 484.22, Subpart B, Conditions of Participation: Home Health Agencies - Emergency Preparedness.

Based on the findings of an onsite unannounced home health agency Medicare re-certification survey conducted July 27, 2022, and July 28, 2022, Faithful Home Care Solutions, LLC was found not to be in compliance with the requirements of 42 CFR, Part 484, Subparts B and C, Conditions of Participation: Home Health Agencies. As a result of the Medicare re-certification survey, the following standard level deficiency was cited.

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 a review of agency policy, personnel files (PF), and an interview with the administrator, the governing body failed to ensure the agency followed its policies regarding annual performance evaluations for one (1) of five (5) PF reviewed (PF #3). Findings include: A review of agency policy "HR-8.0 Performance Evaluations" on July 27, 2022, at approximately 2:15 P.M. stated, "Policy: ... Annual performance evaluations are completed every year, within one (1) month of the employee's date of hire anniversary..." Review of PF on July 27, 2022, from approximately 11:30 A.M. to 12:45 P.M. revealed the following: PF #3, date of hire December 26, 2016, contained an annual performance evaluation completed on July 25, 2018. There were no subsequent performance evaluations documented. An interview with the administrator on July 27, 2022, at approximately 2:30 P.M. confirmed the above findings.