Every finding on record at Heaven's Angels Health Care Services Inc

The Emergency Preparedness requirements were evaluated, in conjunction with the recertification survey, on 11/20/24. The Agency was in compliance with the Condition, 42 CFR 484.22, Establishment of the Emergency Program for this survey.

A recertification survey was conducted in conjunction with the evaluation of Emergency Preparedness requirements on 11/20/24. Standard level deficiencies cited. Abbreviations: OASIS = Outcome and Assessment 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 Agency’s Error Summary report and Staff interview, it was determined in 132 of 211 reports submitted for the last 12 months, the Agency failed to submit all reports timely, as required. Finding include: 1. The Agency’s Error Summary report for November 1, 2023 thru October 31, 2024, was reviewed on 11/19/24 at 1:00 PM. The report included error # -3330 for 132 of 211 submissions. 62.56% of the OASIS reports were not submitted timely, resulting in a warning. 2. The above findings were confirmed, during an interview with the Administrator, on 11/19/24 at 3:00 PM.