Every finding on record at Omega Home Healthcare, LLC

A survey for compliance with CMS Appendix Z Emergency Preparedness Requirements was conducted on 8/28/23 thru 8/30/23, during a recertification survey. The facility is not in compliance with the Appendix Z Emergency Preparedness Requirements.

Methods for Sharing Information CFR(s): 484.102(c)(4)-(5) §403.748(c)(4)-(6), §416.54(c)(4)-(6), §418.113(c)(4)-(6), §441.184(c)(4)-(6), §460.84(c)(4)-(6), §441.184(c)(4)-(6), §460.84(c)(4)-(6), §482.15(c)(4)-(6), §483.73(c)(4)-(6), §483.475(c)(4)-(6), §484.102(c)(4)-(5), §485.68(c)(4), §485.542(c)(4)-(6), §485.625(c)(4)-(6), §485.727(c)(4), §485.920(c)(4)-(6), §491.12(c)(4), §494.62(c)(4)-(6). [(c) The [facility] must develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws and must be reviewed and updated at least every 2 years [annually for LTC facilities]. The communication plan must include all of the following: (4) A method for sharing information and medical documentation for patients under the [facility's] care, as necessary, with other health providers to maintain the continuity of care. (5) A means, in the event of an evacuation, to release patient information as permitted under 45 CFR 164.510(b)(1)(ii). [This provision is not required for HHAs under §484.102(c), CORFs under §485.68(c)] (6) [(4) or (5)]A means of providing information about the general condition and location of patients under the [facility's] care as permitted under 45 CFR 164.510(b)(4). *[For RNHCIs at §403.748(c):] (4) A method for sharing information and care documentation for patients under the RNHCI's care, as necessary, with care providers to maintain the continuity of care, based on the written election statement made by the patient or his or her legal representative. *[For RHCs/FQHCs at §491.12(c):] (4) A means of providing information about the general condition and location of patients under the facility's care as permitted under 45 CFR 164.510(b)(4). This STANDARD is not met as evidenced by: Based on interview and document review, the facility failed to include in its communication plan a method for sharing information and medical documentation for patients under the agencies care, as necessary, with other health providers to maintain the continuity of care. This had the potential to affect all patients served by the agency. During review of the emergency preparedness plan it was noted the plan lacked information in the communication section related to sharing information and medical documentation during an emergency. On 8/30/2023, at 1:30 p.m. compliance officer (CO) confirmed this information was missing from the emergency plan.

On 8/28/23 thru 8/30/23 a recertification survey was conducted. This resulted in a standard survey at Omega Home Healthcare LLC. The agency was found to have met the requirements at 42 CFR. Part 484 for Home Health Agencies. Unduplicated census previous 12 months: 103 Total home visits conducted: 3 List Parent Location visited, including the addresses as verified while on site: 1432 Old West Main St, Red Wing, MN 55066 List all other branch offices for this agency and identify which of these were visited during this survey and which you pulled records from: Branch office visit not done as no staff are currently working in the office and no patient records are currently stored there. Did review record from the following branch office: 1215 7th St North, Suite 108, Lake City, MN 55041 List Hours of Operation: 8 a.m. – 5 p.m. List total number of records reviewed: 7 In addition to the recertification, the following complaints were reviewed. As a result: No deficiency was issued for complaints: H7011007C (MN68381) H7011008C (MN68366) H70114889C (iQIES#97029)