Every finding on record at Mountain HHA, LLC

A Recertification survey was conducted at Mountain Home Health on December 1, 2025, and concluded on December 3, 2025. At the time of the survey, the agency was in compliance with 42 CFR Part 418.113, Emergency Preparedness and Covid-19 infection control.

A Recertification survey was conducted at Mountain Home Health on December 1, 2025, and concluded on December 3, 2025. At the time of the survey, the agency was not in compliance with Chapter 42 CFR Part 418, Rules and Requirements for Home Health and Hospice Agencies. The census was 108. The following 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 review of policy titled “Reporting of OASIS Information,” the Centers for Medicare & Medicaid Services (CMS) Home Health Agency (HHA) Error Summary by agency report, and staff interview, it was determined that the agency failed to electronically transmit monthly Outcome and Assessment Information Set (OASIS) data collected to the CMS system every 30 days. Findings include: Review of the policy titled “Reporting of OASIS Information,” revised 2/2021, revealed the following: Procedure: 3. Agency will electronically transmit, completed, encoded and locked OASIS data for each completed OASIS assessment to the system not later than 30 days. Review of CMS report titled “HHA Error Summary by Agency,” with report period of 09/01/2024-09/01/2025 and run date of 09/29/2025, revealed the agency failed to transmit OASIS data to CMS system within 30 days. On 12/01/2025 at 3:00 pm, during an in-office interview, the agency's Administrator acknowledged that she was aware that the 30-day OASIS submission timeframe requirements were not met during the time frame of 09/01/2024 through 09/01/2025. The Administrator further revealed that it is “sometimes difficult to get the doctors on the phone to receive the codes.”