Every finding on record at Mother Is Gold Home Health Care Inc.

A relicensure and recertification survey, one complaint (#518769), one self-report (1028129) investigation was conducted on 12/8/2025. The census Pantego: 58 L&CHHS: 34 LHH: 0 PAS: 24 No deficiencies cited

A relicensure and recertification survey, one complaint (#518769), one self-report (1028129) investigation was conducted on 12/8/2025. The census Pantego: 58 L&CHHS: 34 LHH: 0 PAS: 24 Abbreviation: HHA A- Home Health Aide A CMS- Center of Medicare and Medicaid EMR – Employee Misconduct Registry NAR- Nurse Aide Registry L&CHHS – Licensed and Certified Home Health Services LHH – Licensed Home Health PAS – Personal Assistance Services HHA – Home Care Agency OASIS – Outcome and Assessment Information Set iQIES- Internet Quality Improvement and Evaluation Systems PROV- Provider

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 encode and electronically transmit each completed OASIS assessment to the CMS system, within 30 days of completing the assessment of the patient for 1 of 3 assessments processed for the time reviewed from 01/01/2025 to 11/01/2025. This failure resulted in quality data used to continuously improve the effectiveness of home healthcare failing to be reported to CMS in the required time frame. The findings included: The HHA Error Summary Report, retrieved from the iQIES website for the time of 01/01/2025 to 11/01/2025 was reviewed. Review of the HHA Error Summary Report for the time-period 01/01/2025 to 11/01/2025 identified Error -3330. The description for Error -3330 read in part, “Record Submitted Late: The submission date is more than 30 days after M0090 (Item M0090 specifies the date the actual assessment was completed) on this new record.” The documentation further identified the number of assessments with the error was 33 assessments and the percentage of assessments with this error was 33.33% of the total of 3 assessments completed by the Agency. A joint interview was conducted with the Administrator on 12/11/2025 at 12:00 p.m. The HHA Error Summary Report was reviewed with the Administrator. The Administrator stated the Agency acknowledged the responsibility of the late submission. The Administrator also stated that the delay was with him having to learn to submit the OASIS assessments into a new electronic medical record system. During a record review of an Agency policy titled, "Timelines," dated for revision 5/1/2011, read in part, "…All completed and encoded OASIS data will be transmitted via electronic communication software that is available from CMS … It will be transmitted to the state within 30 days of the M0090 date…"