Every finding on record at Mississippi Homecare of Jackson II, LLC

*EMERGENCY PREPAREDNESS* Survey conducted on 11/05-11/07/2024 revealed the above HHA facility meets all applicable Federal, State and local emergency preparedness requirements. No deficiencies were cited.

*JACKSON * The Medicare Recertification survey conducted 11/05-11/07/2024 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, policy and procedure review, and review of the facility report “HHA errors 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 345 patients in the past 12 months: 10/31/2023-10/31/2024. Findings Include: An interview with the Executive Director on 11/06/2024 at 10:20 a.m. confirmed the agency failed to submit Oasis on one (1) or more patients within 30 days. The Executive Director also confirmed the agency is supposed to submit OASIS data within 30 days of completing OASIS Data Sets. Review of facilities Internet Quality Improvement and Evaluation System (IQIES) report, “The HHA error summary report by agency”, dated 10/31/2023-10/31/2024 for the past 12 months revealed error for 345 patients submitted late within 30 days of completing the assessment of the beneficiary. Review of facilities policy, “OASIS Data Capturing, Transmission, Verification, Display and Reports” revised 03/01/2021, confirmed…” Procedure 1e… “All assessments will be reserved and transmitted within 30 days of M0090 date… Procedure 2a… At least monthly, agency will electronically transmit accurate, completed encoded and locked OASIS data to the state agency. All OASIS assessments completed must be transmitted within 30 days of M0090 date.” During the exit conference on 11/07/2024 at 1:30 p.m. with the Executive Director, Clinical Director and the Office Manager, survey findings were discussed, and no further documentation was submitted for review.