Every finding on record at Good Life Home Health Care, Inc

The Emergency Preparedness requirements were evaluated, in conjunction with the recertification survey, on 09/12/25. The Agency was in compliance with the Condition, 42 CFR 484.102, Establishment of the Emergency Program for this survey.

A recertification survey was conducted in conjunction with the evaluation of Emergency Preparedness requirements, on 09/12/25. Standard level deficiencies cited. Abbreviations: POC = Plan of Care PsOC = Plans of Care Pt./Pts. = Patient/Patients # = number RN = Registered Nurse AM = morning PM = afternoon % = percent OASIS = Outcome Assessment and Information Set

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 review of the Error Summary report and staff interview, it was determined, in the last 12 months, the Agency failed to submit 66 of 521 assessments timely, resulting in a warning. Findings include: 1. The Error Summary report for 09/01/24 to 08/31/25 was reviewed on 09/11/25 at 1:30 PM. The report included error # -3330 for 66 of 521 late submissions and 12.67 % of the OASIS reports submitted were more than 30 days after the assessment was completed. 2. During an interview with the Administrator and Agency Supervisor on 09/11/25 at 2:00 PM, it was confirmed that the error occurred.

Onsite supervisory visit every 14 days CFR(s): 484.80(h)(1)(i) (1)(i) If home health aide services are provided to a patient who is receiving skilled nursing, physical or occupational therapy, or speech language pathology services— (A) A registered nurse or other appropriate skilled professional who is familiar with the patient, the patient's plan of care, and the written patient care instructions described in paragraph (g) of this section, must complete a supervisory assessment of the aide services being provided no less frequently than every 14 days; and (B) The home health aide does not need to be present during the supervisory assessment described in paragraph (h)(1)(i)(A) of this section. This ELEMENT is not met as evidenced by: Based on clinical records reviewed, policy review and staff interview, for 2 of 3 (Pts. #6 and 5) clinical records reviewed with Aide services, the Agency failed to ensure the RN conducted Aide supervision in the home every 14 days. 2. Pt. #5 was admitted to the Home Health Services on 05/07/25 with the diagnoses of Urinary Tract Infection. The clinical record was reviewed on 09/11/25. The clinical record included a POC dated 07/06/25, that required the Aide services 1 time a week for 9 weeks. The clinical record included two non-visit RN notes dated 07/22/25 and 08/05/25. During the interview with the Agency Supervisory, it was stated the supervision was conducted by telephone. The RN failed to conduct the supervisory visits in the patient’s home every 14 days. 3. The Agency’s policy titled “Home Health Aide Supervision” was reviewed on 09/12/2025 at 9:15 AM. The policy included: “…PROCEDURE 1. …The RN or appropriate therapist shall make a supervisory visit to the patient’s residence at least every 14 days…” 4. The above findings were confirmed, during the interview with the Administrator and Agency Supervisor, on 09/11/25 at 12:30 PM and on 09/12/25 at 9:20 AM. Findings include: 1. Pt. #6 was admitted for Home Health Services on 05/14/25 with diagnosis of Unspecified Atrial Fibrillation. The clinical record was reviewed on 09/11/25. The clinical record included the PsOC for the certification periods of 05/14/25 to 07/12/25 and 7/13/25 to 09/10/25 that required the Home Health Aide services to provided 1 time a week for 9 weeks. The record included the Home Health Aide visit notes which were provided once a week from 06/17/25 through 08/07/25. The record lacked documentation the RN conducted the Home Health Aide Supervision every 14 days.