Every finding on record at Orion Homecare LLC Dba/Enhabit Home Health

An Emergency Preparedness survey was conducted by Healthcare Licensing and Surveys on 3/13/25. Based upon the findings of the survey, it was determined that no deficiencies were identified pertaining to the Emergency Preparedness Rule.

A recertification survey was conducted by Healthcare Licensing and Surveys from 3/10/25 to 3/13/25.

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 review of the iQIES Home Health Agency (HHA) error summary report and staff interview, the agency failed to transmit within a timely fashion 10 of 1043 assessments processed. The findings were: 1. Review of the iQIES report for HHA error summary showed the agency failed to submit the assessment within 30 days for 10 of 1043 assessments processed. 2. Interview with the administrator on 3/13/25 at 9:30 AM revealed she felt only 1 was late, the others were pulled back due to Medicare inconsistency.

A recertification survey was conducted by Healthcare Licensing and Surveys from 2/28/22 to 3/4/22. In addition, a review for compliance with the Omnibus COVID-19 Health Care Staff Vaccination requirements was conducted from 2/28/22 to 3/4/22. Based on the findings of the survey team, it was determined that no deficiencies were identified related to staff vaccination requirements.

RN performs assessment CFR(s): 484.55(a)(1) A registered nurse must conduct an initial assessment visit to determine the immediate care and support needs of the patient; and, for Medicare patients, to determine eligibility for the Medicare home health benefit, including homebound status. The initial assessment visit must be held either within 48 hours of referral, or within 48 hours of the patient's return home, or on the physician or allowed practitioner - ordered start of care date. This ELEMENT is not met as evidenced by: Based on medical record review and staff interview, the agency failed to ensure the initial assessment was completed within the required timeframe for 2 of the 17 sample patients (#9, #12). The findings were: 1. Review of medical record for patient #9 showed patient was discharged from the hospital on 2/5/22 and referred for home health services, including physical and occupational therapy. A communication to the referring physician indicated that the start of care would be "on Monday" (2/7/22). Review of the initial assessment and admission paperwork showed the patient was admitted to home health services on 2/9/22. 2. Review of medical record for patient #12 showed patient was referred for home health services on 12/3/21, including physical and speech therapy. Review of initial assessment and admission paperwork showed the patient was admitted to home health services on 12/7/21. 3. Interview with the administrator on 3/3/22 at 3:20 PM confirmed there was no evidence the physician was aware of or approved the delayed start of care for patient #9 or patient #12.