Every finding on record at North Mississippi Medical Cent

*EMERGENCY PREPAREDNESS* Survey conducted on 07/22-07/25/2024 revealed the above facility meets all applicable Federal, State and local emergency preparedness requirements. No deficiencies were cited.

* TUPELO * The Medicare Recertification survey conducted 07/22-07/25/2024 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 error 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 376 patients in the past 12 months: 07/19/2023-07/19/2024. Findings Include: An interview with the Regional Manager of Regulatory Compliance on 07/23/2024 at 9:41 a.m. confirmed the agency is to submit OASIS data per Centers for Medicare and Medicaid services within 30 days of completing Oasis Data Sets. Review of the facility Internet Quality Improvement and Evaluation System (IQIES) report, “The HHA Error summary report by Agency”, for the past 12 months from 07/19/2023-07/19/2024 revealed, Error -3330 for 376 patient assessments submitted late within 30 days of completing the assessment of the beneficiary. Review of facility’s policy #1L.HHA.9500.0114.0307, titled, “OASIS DATA COLLECTION AND DOCUMENTATION”, revised 11/2018, confirmed “…Oasis data is collected and documented according to OASIS Guidance Manual …”. During the exit conference on 07/25/2024 at 11:30 a.m. with the Director, Vice President Post Acute, Regional Manager, four (4) Nurse Managers, Office Manager and Regional Manager of Regulatory Compliance, survey findings were discussed, and no further documentation was submitted for review.