Every finding on record at Oherbst Inc

A relicensure and recertification survey was conducted on 3/10/2025 at 3:00 p.m. with the Administrator. The census was: Bryan: 70 Shenandoah: 67 Corsicana: 82 L&CHHS – 219 NO DEFICIENCIES CITED.

A relicensure and recertification survey was conducted on 3/10/2025 at 3:00 p.m. with the Administrator. The census was: Bryan: 70 Shenandoah: 67 Corsicana: 82 L&CHHS – 219

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 Agency failed to encode and electronically transmit each completed OASIS assessment to the CMS system, within 30 days of completing the assessment of the patient for 248 of 1844 assessments processed for the time reviewed of 06/01/2024 to 12/31/2024. This failure resulted in quality data used to continuously improve the effectiveness of home healthcare failing to be reported to CMS in the required time frame. The findings included: The HHA Error Summary Report, retrieved from the iQIES website for the time of 06/01/2024 to 12/31/2024 was reviewed. Review of the HHA Error Summary Report for the time-period 06/01/2024 to 12/31/2024 identified Error #-3330. The description for Error #-3330 read in part, “Record Submitted Late: The submission date is more than 30 days after M0090 (Item M0090 specifies the date the actual assessment was completed) on this new record.” The documentation further identified the number of assessments with the error was 248 assessments and the percentage of assessments with this error was 13.45% of the total of 1844 assessments completed by the Agency. An interview was conducted with the Administrator on 3/13/2024 at 1:30 p.m. The HHA Error Summary Report was reviewed with the Administrator. The Administrator stated the Agency was not aware of the late submissions of OASIS assessments being a requirement, but it is most likely due with delayed internal communication among departments prior to submission of the OASIS assessments. The Administrator also revealed that she will course correct the issue relating to timely submissions of the OASIS assessments. Record review of an Agency policy titled, "Oasis Outcome and Information Set " dated 9/26/2024, read in part, "…(a) Standard: Encoding and transmitting OASIS data collected in accordance with ..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…”