Every finding on record at Heartland Home Health LLC

A recertification survey for compliance with 42 CFR Part 484, Subpart G, Subsection 484.102 Emergency Preparedness Requirements for Home Health Agencies, was conducted from 1/28/25 through 1/29/25. Heartland Home Health LLC was found in compliance.

A recertification health survey for compliance with 42 CFR Part 484, Subparts B-C, requirements for Home Health Agencies, was conducted from 1/28/25 through 1/29/25. Heartland Home Health LLC was found not in compliance with the following requirement: G372.

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 record review, interview, and policy review, the provider failed to ensure the Outcome and Assessment Information Set (OASIS) Start of Care (SOC) data was submitted within 30 days after M0090 [the last date that information used to complete the comprehensive assessment and determine OASIS coding was gathered by the assessing clinician and documentation of the specific response was completed] for 31 new patient records. Findings include: 1. Review of the HHA [Home Health Agency] Error Summary Report for Heartland Home Health during survey preparation on 1/27/25 revealed: *The reporting period was for the prior calendar year 1/1/24 to 12/31/24. *There were 31 errors coded as -3330 which indicated “Record Submitted Late: The submission date is more than 30 days after M0090 on this new record.” 2. Interview on 1/29/25 at 10:10 a.m. with owner A, administrator B, and clinical manager C regarding late OASIS SOC data submission revealed they: *Were aware of the Centers for Medicare & Medicaid (CMS) requirement to submit the OASIS SOC data within 30 days after the OASIS SOC assessment was completed. *Were aware their agency had late OASIS SOC data submissions. *Were not aware of the amount of late OASIS SOC data submissions. *Reported the owner completed the OASIS SOC submissions after the clinical manager completed an OASIS SOC review process. *Attributed the late OASIS SOC submissions to their OASIS SOC quality review process and the agency's increase in referrals and patient census in 2024. 3. Review of the provider's May 2023 OASIS Data Transmission policy revealed: *” POLICY -Heartland Home Health will adhere to all OASIS data transmission requirements as outlined in the Medicare Conditions of Participation, Reporting of OASIS information 42 CFR 484.45 OASIS data will be reported electronically in accordance with 42 CFR 484.55. *PROCEDURE -1. The organization will encode and transmit completed OASIS data for each applicable patient within 30 days of the M0090 date, date assessment completed.”