Every finding on record at Nursecore of Las Vegas

A Medicare Recertification Survey was conducted by Healthcare Management Solutions, LLC, on behalf of the Nevada Department of Health and Human Services. The survey conducted from 07/09/2025 - 07/11/2025 resulted in a finding of substantial compliance respective to the Emergency Preparedness Program Condition of Participation under 42 CRF 484.102.

A Medicare Recertification survey was conducted by Healthcare Management Solutions, LLC on behalf of Nevada Department of Health and Human Services. The survey conducted from 07/09/2025 - 07/11/2025 resulted in a finding of substantial compliance respective to the applicable Condition of Participation (CoP) under 42 CRF 484 Subparts A through C with the following standard-level deficiencies listed below.

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 Home Health Agency (HHA) failed to ensure the timely submission of OASIS (Outcome and Assessment Information Set) to IQIES (Internet Quality and Improvement and Evaluation System). The failure had the potential to affect all 91 patients receiving services from the HHA who require evaluation and care. Findings include: Review of the agency's policy titled, "OASIS Comprehensive Assessment," revised 10/2021, revealed, "Purpose: To describe guidelines for Outcome and Assessment information Set (OASIS) assessment completion, encoding, correction, transmission validation . . .VI. Transmission of OASIS data will occur no less frequently then every 30 days . . ." The agency's OASIS submission data since May 2022 was reviewed for timely transmission to IQIES. The data revealed late transmissions over the state’s threshold of 10.0% per quarter for nine out of 11 quarters, and the percentage rate ranged from 11.5% in the fourth quarter of 2022 to 40.7% for the second quarter of 2023. This resulted in an error code of -3330 (late submission). During an interview on 07/10/2025 at 10:00 AM, the Administrator stated there had been some staffing issues and staff had been hired in September 2023, and the former Clinical Director had done some of the transmitting as well. The Administrator admitted to not being aware that the delayed transmissions were that severe.

12 hours inservice every 12 months CFR(s): 484.80(d) Standard: In-service training. A home health aide must receive at least l2 hours of in-service training during each 12-month period. In-service training may occur while an aide is furnishing care to a patient. This STANDARD is not met as evidenced by: Based on staff file review, interview, and policy review, the Home Health Agency (HHA) failed to provide documentation for in-service training for three of four Certified Nursing Assistants (Certified Nurse Aide (CNA) 8, CNA9, and CNA10). This deficient practice had the potential to allow CNA staff to provide care without updated information. Findings include: Review of the facility’s policy titled, "Agency Inservices [sic] and Education- Home Care,” revised July 2021, revealed, "Policy: B. For employees providing Home Health Aide . . . services: 12 in-service/educational programs will be provided annually . . ." Review of the staff files for CNA8, CNA9, and CNA10 revealed: 1) CNA8's date of hire was 12/12/2008. There was no tracking of in-service education. There was no documentation to show the CNA had been provided with 12 hours of education. 2) CNA9's date of hire was 07/12/2023. There was no tracking of in-service education. There was no documentation to show the CNA had been provided with 12 hours of education. 3) CNA10 's date of hire was 1217/2020. There was no tracking of in-service education. There was no documentation to show the CNA had been provided with 12 hours of education. During an interview on 07/11/2025 at 11:45 AM, the Administrator and Director of Clinical Services confirmed the Home Health Agency failed to track and ensure CNAs receive 12 hours of in-service training annually.