Every finding on record at Kingly Home Health Care, Incorporated.

A recertification survey was initiated on 5/28/2024 with the Administrator. Agency census Licensed and Certified Home Health – 51 Licensed Home Health – 0 Total Census – 51 The agency was in compliance with 42 CFR part 484.102, Emergency Preparedness Requirements for Home Health Agencies.

A recertification survey was initiated on 5/28/2024 with the Administrator. Agency census Licensed and Certified Home Health – 51 Licensed Home Health – 0 Total Census – 51 Abbreviations: OASIS-Outcome and Assessment Information Set iQies-Internet Quality Improvement Evaluation System CMS-Centers for Medicare & Medicaid Service HHA –Home Health Agency M0090 – Date OASIS assessment completed

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, the agency failed to transmit completed OASIS assessments to the CMS system within 30 days of completing the OASIS assessment of the beneficiary (patient) for 2.39% of the assessments transmitted during the 1 year period of 6/1/23 to 5/31/24. This failure prevented the agency's patient data from being made available to CMS for analysis to identify agency performance levels in the provision of patient care. Findings include: On 5/31/24 at 11:30 am, the surveyor reviewed the agency OASIS error summary report from June 1, 2023 through May 31, 2024. The HHA Error Summary Report read in part…”Error -3330, record submitted late: The submission date is more than 30 days after M0090. # (number) of assessments processed, 544.”… 13, 2.39% submitted over 30 days after the M0090 date. An interview was conducted on 5/31/24 at 11:45 am with the Administrator/Supervising Nurse and the Alternate Administrator/Alternate Supervising Nurse. The surveyor reviewed the HHA Error Summary Report findings that the agency had submitted 13 OASIS assessment over 30 days after the M0090 date. The surveyor asked who was responsible for submitting the OASIS. The Administrator/Supervising Nurse explained that she (the Administrator) was responsible. The surveyor asked what the agency process was for submitting the OASIS. The Administrator/Supervising Nurse said, “We submit every Friday.” The surveyor asked why were the OASIS submitted late. The Alternate Administrator/Alternate Supervising Nurse said, “Most are due to the nurses not completing them timely due to waiting for insurance authorization.” The agency did not dispute the findings. Agency policy, “Timelines IM.35” revised 5/2/24 read in part…”Policy The agency will ensure timely provision of care and services to meet the patient’s/client’s needs in compliance with all federal and state laws and regulations…Procedure…II. All completed and encoded OASIS data will be transmitted via electronic communication software that is available from CMS or software that conforms to CMS electronic record layout, edit specifications, and data dictionary, and that includes the required OASIS data set and the CMS-assigned branch identification number, as applicable. It will be transmitted using electronic communications software that complies with the Federal Information Processing Standard (FIPS 140-2, issued May 25, 2001) from the Agency or the Agency contractor to the CMS collection site within 30 days of the M0090 date.”…