Every finding on record at Nhc/Op. LP

A recertification survey was conducted at NHC Homecare Crawfordville May 6 thru May 9, 2024. The agency was not in compliance with Code of Federal Regulations (CFR) 42, Part 484, Subparts A-F, Conditions of Participation for Home Health Agencies. Emergency Preparedness was reviewed during this survey. The agency was in compliance with Emergency Preparedness requirements for Home Health agencies.

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 staff interview, the agency failed to encode and electronically transmit each completed Outcome and Assessment Information Set (OASIS) assessment to the Center for Medicare and Medicaid Services (CMS) system, regarding each beneficiary with respect to required information, within 30 days of completing the assessment. The findings include: A review of the HHA (Home Health Agency) Error Summary by Agency OASIS Report was conducted during offsite survey preparation on May 5, 2024, with focus on the specific error code, -3330 "Record Submitted Late: Submission date is more than 30 days after M0090 (Date Assessment Completed) on this record". The Summary report covered the period of 12 months prior to the survey date. The error report listed 17 records with error code -3330, indicating that 17 OASIS assessment data sets were submitted later than 30 days after completion of the assessment During an interview with the agency Administrator and the Regional Administrator on 5/8/2024 at 10:00 AM, the HHA Error Summary by Agency Report was discussed. The Regional Administrator stated she would check the agency's copy of this report. She returned at approximately 2:10 PM and confirmed she had found 7 late submission records with error code -3330 for the period of January 1, 2024, to today. She acknowledged the agency has been having some problems with timely OASIS submission and have identified this as a problem and are working to correct it. During a follow up interview with the Administrator on 5/9/2024 at 10:05 AM, she confirmed she had further reviewed the Error Report for the year prior to this survey and had found 17 OASIS assessments which had not been transmitted within the 30-day timeframe required (error code -3330).