An unannounced Complaint survey #2022003913 was conducted on 03/16/2022 at United Labor Home Healthcare, Home Health Agency provider. The provider was not in compliance with 42 CFR, Part 484 Subpart A-C, Conditions of Participation for Home Health Agencies.
Every finding on record at Hats Home Health Nursing Services LLC
Boca Raton, Florida · CCN 103189
2 findings across 1 survey, in the inspector's own words.
The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.
Survey of March 16, 2022
2 findingsLicensing CFR(s): 484.100(b) (b) Standard: Licensing. The HHA, its branches, and all persons furnishing services to patients must be licensed, certified, or registered, as applicable, in accordance with the state licensing authority as meeting those requirements. This STANDARD is not met as evidenced by: Based on record review and interview, the HHA (Home Health Agency) failed to maintain their accreditation as required. The findings included: Review of a letter from the HHA's accrediting organization dated 03/14/22 documents, “IJ” (Immediate Jeopardy) was identified on 03/10/22 during a re-accreditation survey; that the Owner/Administrator was informed of the determination of Immediate Jeopardy and need for an abatement plan within 5 days, and that the Owner/Administrator refused to allow the [accrediting organization]’s site visitor to return the next day, 03/11/22 to continue the survey. This letter further documents that due to this refusal, the site visit was aborted and accrediting organization]terminated the provider’s accreditation effective 03/10/22. During interview on 03/16/22 at 9:30 AM, the Owner/Administrator confirmed they did not allow the accrediting organization’s site visitor to return on 03/11/22 because they felt it was not necessary and it was “all about the money;" the Owner/Administrator stated she was informed on 03/10/22 of the findings of “Immediate Jeopardy” but that she did not agree with this because her agency “didn’t hurt or kill anybody,” and since there were “no records” she didn’t understand how they came to that conclusion; the Owner/Administrator stated the site visitor gave them a choice of staying late on 03/10/22 at no charge or returning on 03/11/22 at extra charge to tell them how to write a “Plan of Correction”; that she agreed to let the site visitor stay late on the third day but she herself left at 6:00 PM to go to another job; the Owner/Administrator reported she refused for the site visitor to help write a “Plan of Correction” because the Owner/Administrator has written many “Plans of Correction” before and the Office Manager stayed late with the site visitor. During interview on 03/16/22 at 10:20 AM, the Office Manager reported she was present for the conversation on 03/10/22 with the accrediting organization’s site visitor and accrediting organization supervisor and the Home Health Agency’s Owner/Administrator during which they were given 2 choices: for the site visitor to help them write the “Plan of Correction” by staying late that day at no charge or to return the following day for which there would be a charge; the Office Manager reported the Owner/Administrator agreed for the site visitor to stay late that day but not to return the next day and refused the site visitor’s assistance to write the “Plan of Correction;" the Office Manager also reported the Owner/Administrator left that day at 6:00 PM, after which the site visitor completed her report and gave it to the Office Manager before leaving. The Office Manager provided a copy of this report, dated 03/10/22, from the site visitor, titled “Immediate Jeopardy Notification."
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Federal survey findings only. State licensure findings for home health agencies are not shown.
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