Every finding on record at Home Health & Hospice Care

An Emergency Preparedness survey was conducted on 7/12/24 pursuant to the Emergency Preparedness Regulations as referenced in the Centers for Medicare and Medicaid State Operations Manual, 42 CFR part 484.102 Appendix Z - Rev, 204, HHA issued: 04/16/21 with no deficiencies cited.

A Health Recertification Survey was conducted from July 9, 2024, through July 11, 2024, pursuant to 42 CFR Part 484, for Home Health Agencies with deficiencies 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 record review and interview, it was determined that the facility failed to submit Outcome and Assessment Information Set (OASIS) assessments timely for 705 records between 6/1/23 through 7/8/24. Findings include: Review on 7/8/24 at approximately 11:00 a.m. of the Center for Medicare and Medicaid Services (CMS) "HHA [Home Health Agency] Error Summary by Agency" Report, revealed the following error "-3330 Record Submitted Late: The submission date is more than 30 days after M0090 on this new record" was noted for 705 records. Interview on 7/9/24 at approximately 9:00 a.m. with Staff A (Administrator) confirmed the above findings.