Every finding on record at Osgood Healthcare Services Inc

Available during all operating hours CFR(s): 484.105(b)(3) The administrator or a pre-designated person is available during all operating hours. This ELEMENT is not met as evidenced by: Neither the administrator nor a designated staff member was available in person or via telephone when the surveyor arrived during the hours of 8:00 a.m. and 5:00 p.m. Monday through Friday to conduct a survey. Based on observation, record review, and interview, the Administrator or pre-designated person failed to be available to allow a HHSC surveyor second entrance to the agency on 9/20/2022, during all operating hours. This failure could place agency patients at risk of receiving substandard care and at risk of poor outcomes because of the surveyor not being able to conduct a survey to determine the agency's compliance with Federal regulations. Surveyor 38797 Based on onsite observation neither the administrator nor a designated staff member was available in person or via telephone when the surveyor arrived at 2:15 p.m. during the hours of 8:00 a.m. and 5:00 p.m. Monday through Friday to conduct a survey. The administrator or a designated staff member failed to: (1) post a notice in a visible location outside the agency that will provide information regarding how to contact the person in charge; and (2) leave a message on an answering machine or similar electronic mechanism that will provide information regarding how to contact the person in charge. Findings Include: Record review of web-based licensure system TULIP revealed the agency listed an Administrator and Alternate Administrator, the agency address, and the operating Hours: 9:00 a.m. - 3:00 pm (Monday - Friday). On arrival at the agency's address on 09/20/2022 at 09:15 AM, Surveyor observed that the Agency was located at a residential address. Surveyor observed that the Agency had no visible business signage that indicated business hours, phone contacts, and after hour phone contacts. Surveyor rang the doorbell, there was an answer at the door by a young man. Surveyor identified self and presented identification badge and business card. The Surveyor asked if the address was correct for the Agency. The young man responded yes and invited the surveyor inside the residence. Surveyor asked if the Administrator or Alternate Administrator were available. The young man stated, “I don’t know who that it.” Surveyor provided the names of the Administrator and Alternate Administrator by name. The young man responded the Administrator was his mother. Surveyor asked about the Alternate Administrator and the young man stated, “he no longer livers here.” Surveyor asked the young was he an employee with the agency. The young man stated, “No, I will make a phone to get some help.” The young man left the room. The young man returned approximately 10 minutes later. The young man stated, “I can’t get anyone on the phone.” The surveyor told the young man to notify the Administrator and Alternate Administrator that the Surveyor will wait outside until 11:15 AM. On 9/20/2022 at approximately 9:40 AM, the surveyor called the phone number (XXX-XX-6340) listed on the printout from TULIP for the agency. The phone call was not answered, surveyor left a call back message that included the following: surveyor's name, date, time, call back phone number, purpose of the visit and the 2-hour requirement for response from an agency employee to grant entrance for the survey. At approximately 11:13 AM, the surveyor made a courtesy second call to the agency phone number (XXX-XX-6340) and left another call back request. On 09/20/2022 at 11:20 AM, Surveyor left a copy of the State Letter-"MEMO 17-01: Inability to Access Records or Perform a Survey by the Department of Aging and Disability Services (DADS) (now Health and Human Services Commission (HHSC)), at the door of the agency. Surveyor left the agency location at 11:25 AM. Surveyor was unable to conduct a survey. Surveyor 38797