Every finding on record at Home Health Care Affiliates of Mississippi, Inc

*EMERGENCY PREPAREDNESS* Survey conducted on 06/10-06/13/2024 revealed the above facility meets all applicable Federal, State and local emergency preparedness requirements. No deficiencies were cited.

* BRUCE * The Medicare Recertification survey conducted 06/10-06/13/2024 revealed the above facility has met all Medicare Conditions of Participation for Home Health Agencies (HHA). However, Standard-level deficiencies were cited. ___________________

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 staff interview and review of the facility report, “HHA error summary by agency “, the facility failed to encode and electronically transmit each completed Outcome and Assessment Information Set (OASIS) assessment within 30 days of completing the assessment of the beneficiary for eight (8) patients in the past 12 months; 05/01/2023 - 05/31/2024. Findings Include: During an interview with Registered Nurse (RN) #1 on 06/10/2024 at 4:38 p.m., it was confirmed the facility does not have a policy for Outcome and Assessment Information Set (OASIS) submission. Review of the facility Internet Quality Improvement and Evaluation System (IQIES) report, “The HHA Error summary report by Agency”, for the past 12 months from 05/01/2023-05/31/2024 revealed, Error -3330 for eight (8) patient assessments submitted late within 30 days of completing the assessment of the beneficiary. No policy and procedure was submitted for review. During the exit conference on 06/13/2024 at 12:45 p.m. with Branch Director, Area Vice President of Operations, Clinical Manager and RN, survey findings were discussed, and no further documentation was submitted for review.