Every finding on record at New Age Health Care Corporation

Based on the findings of an unannounced onsite Medicare recertification survey completed October 20, 2023, Emerald Home Health, was found to be in compliance with the requirements of 42 CFR, Part 418.113, Subpart D, Conditions of Participation: Home Health Agencies -Emergency Preparedness.

Based on the findings of an unannounced onsite Medicare recertification survey completed October 20, 2023, Emerald Home Health, was found not to be in compliance with the requirements of 42 CFR, Part 484, Subparts B and C, Conditions of Participation: Home Health Agencies.

Conformance with physician orders CFR(s): 484.60(b) Standard: Conformance with physician or allowed practitioner orders. This STANDARD is not met as evidenced by: Based on review of Clinical Records (CR), patient visit and staff (EMP) interview, the agency failed to ensure the physician orders were followed for one (1) of seven (7) CRs reviewed. (CR3) Findings include: Review of CR3, start of services 9/19/23, certification period 9/19/23 to 11/17/23, on 10/18/23 at approximately 8:00 a.m. in preparation for home visit revealed, DME: physician order: bath bench-awaiting arrival. Start effective date: 9/20/23. Onsite for CR3 patient visit. Observation of DME in CR3 home did not reveal a bath bench. Interview with the patient, “No not yet, I tried to call Medcare myself two times, on different days and both times I was on hold for 45 minutes. I will just go to Walmart and by one myself.” Review of CR3 on 10/19/23 at approximately 10:45 a.m. to 12:30 p.m. revealed a physician’s script dated 9/15/23 for shower chair. Interview with assistant administrator/clinical director on 10/19/23 at 11:30 a.m. confirmed the above findings.

Ensure that HHA employs qualified personnel CFR(s): 484.105(b)(1)(iv) (iv) Ensure that the HHA employs qualified personnel, including assuring the development of personnel qualifications and policies. This ELEMENT is not met as evidenced by: Based on personnel file (PF) review and interview with the agency assistant administrator/clinical director, it was determined the agency failed to ensure personnel files include orientation to the home health agency for two (2) of nine (9) PFs reviewed (PF8, PF9) and the agency failed to ensure annual performance evaluations for one (1) of nine (9) personnel files reviewed (PF8). Findings include: A review of personnel files conducted on 10/17/23 between approximately 12:45 p.m. and 2:00 p.m. revealed the following: PF8, date of hire associated with contract service agreement for Physical Therapy (PT) services dated 8/7/06. No documented evidence of orientation to the home health agency. No documented evidence of an annual performance evaluation for 2023. PF9, date of hire associated with contract service agreement for Occupational Therapy (OT) services dated 9/3/2020. No documented evidence of orientation to the home health agency. During an interview conducted with the agency assistant administrator/clinical director on 10/17/23 at approximately 2:05 p.m. The above findings were reviewed.

Must have a written agreement CFR(s): 484.105(e)(2)(i-iv) An HHA must have a written agreement with another agency, with an organization, or with an individual when that entity or individual furnishes services under arrangement to the HHA's patients. The HHA must maintain overall responsibility for the services provided under arrangement, as well as the manner in which they are furnished. The agency, organization, or individual providing services under arrangement may not have been: (i) Denied Medicare or Medicaid enrollment; (ii) Been excluded or terminated from any federal health care program or Medicaid; (iii) Had its Medicare or Medicaid billing privileges revoked; or (iv) Been debarred from participating in any government program. This ELEMENT is not met as evidenced by: Based on an interview with the assistant administrator/clinical director and a review of agency contract service agreements, the home health agency failed to maintain written agreements with other agencies that furnish services under arrangement to the home health agency's patients for one (1) of two (2) contract service agreements reviewed. Findings include: Written contract service agreements related to the provision of clinical services were reviewed on 10/18/23 at approximately 2:30 p.m. The contract service agreement “Elite Rehabilitation, LLC” which is licensed to provided contracted staffing services for Physical, Occupational and Speech Therapy, was executed on 8/7/06. Contract service agreement…(C) BOTH THE AGENCY AND PROVIDE UNDERSTAND AND AGREE UPON THE FOLLOWING:…10. “This agreement shall continue to be binding upon the parties hereto from year to year for a term no greater that three (3) years, unless terminated as herein provided. This agreement may be amended only by written consent of both parties and all amendments shall be attached to this agreement and made a part thereof.” The home health agency failed to maintain a current written agreement with the contractor meant to furnish services under arrangement to the home health’s agency’s patients. An interview with the assistant administrator/clinical director conducted on 10/18/23 at approximately 2:45 p.m. confirmed the above findings.