Every finding on record at Progressive Home Health Care

The Emergency Preparedness requirements were evaluated, in conjunction with the recertification survey, on 07/31/25. The Agency was in compliance with the Condition, 42 CFR 484.102. Establishment of the Emergency Program for this survey.

A recertification survey was conducted in conjunction with the evaluation of Emergency Preparedness requirements on 07/31/25. Standard level deficiencies cited. Abbreviations: # = number % = percent SN = Skilled Nurse Pt./ Pts. = Patient/Patients SOC = Start of Care AM = morning PM = afternoon COVID-19 = Corona Virus 2019

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 Error Summary report and Staff interview, the Agency failed to submit a timely report, resulting in a warning, for 80 of 1157 reports submitted in the last 12 months. Findings include: 1. The Error Summary report for 07/01/24 to 07/02/25 (12 months), was reviewed on 07/31/25. The report included a warning for Error # -3330. The Error included 80 (6.91 %) of 1157 assessments that were submitted late. 2. During an interview with the Director of Patient Care Services and Compliance Officer on 07/31/25 at 10:30 AM, the Administrative Staff confirmed the above findings.

HHA administrator contact information CFR(s): 484.50(a)(1)(ii) (ii) Contact information for the HHA administrator, including the administrator's name, business address, and business phone number in order to receive complaints. This ELEMENT is not met as evidenced by: Based on a review of the Agency's Pt. admission folder, observation and interview during home visits, clinical record reviews, and Staff interviews, the Agency failed to provide the Pt./patient’s representative information regarding the Administrator for 10 of 10 (Pts. #1, 2, 3, 4, 5, 6, 7, 8, 9 and 10) clinical records reviewed. Findings include: 1. The Agency’s Pt. admission folder was reviewed on 07/28/25. The folder lacked the Administrator’s name, address, and phone number to file a complaint and/or grievance. 2. The following home visits were conducted on 07/29/25: Pt. #1. SOC 06/19/25 Pt. #2. SOC 06/03/25 Pt. #3. SOC 06/26/25 Pt. #4. SOC 06/26/25 During the home visits, the Pt. admission folders were observed, and lacked the name and contact information of the Administrator. Interviews were conducted with the Pt./patient’s representative, they were not aware of the name and contact information of the Administrator. 3. The following clinical records were reviewed from 07/28/25 to 07/30/25: Pt. #1. SOC 06/19/25 Pt. #2. SOC 06/03/25 Pt. #3. SOC 06/26/25 Pt. #4. SOC 06/26/25 Pt. #5. SOC 06/26/25 Pt. #6. SOC 04/18/25 Pt. #7. SOC 04/23/25 Pt. #8. SOC 02/28/25 Pt. #9. SOC 05/16/25 Pt. #10. SOC 02/10/25 The clinical records lacked documentation that the Pt./patient's representative was provided the name and contact of the Administrator to file a complaint or grievance. 4. During interviews with the Director of Patient Care Services and Compliance Officer on 07/30/25 at 10:30 AM and 2:30 PM, the Administrative Staff confirmed the above findings.

Influenza and pneumococcal vaccines CFR(s): 484.60(b)(2) Influenza and pneumococcal vaccines may be administered per agency policy developed in consultation with a physician, physician assistant, nurse practitioner, or clinical nurse specialist, and after an assessment of the patient to determine for contraindications. This ELEMENT is not met as evidenced by: Based on a review of clinical records, policy review and Staff interview, the Agency failed to assess Pts. for pneumonia status in 5 of 10 (Pts # 4, 5, 6, 9 and 10) clinical records reviewed. Findings include: 1. The following clinical records were reviewed on 07/28/25 and 07/29/25. The records lacked documentation indicating Pts. were assessed for pneumonia status. Pt. #4 SOC: 06/26/25 Pt. #5 SOC: 06/26/25 Pt. #6 SOC: 04/18/25 Pt. #9 SOC: 05/16/25 Pt. #10 SOC: 02/10/25 2. The policy titled, “Influenza/Pneumococcal Vaccination Program (Revised 2018)” was reviewed on 07/29/25, required, “Agency staff shall assess on admission if patient is compliant and up to date with flu and pneumococcal vaccinations.” 3. During the Entrance interview with the Director of Patient Clinical Services on 07/28/25, it was stated that staff assesses the status of the pneumonia vaccination at the SOC and enters the information in a form titled, “Influenza/Pneumococcal/COVID-19 Immunization Plan” which is in the patients’ clinical record. 4. During an interview with the Director of Patient Clinical Services on 07/30/25 at 10:30 AM and at XXXX AM, it was confirmed the Agency staff failed to assess Pts. for pneumonia status. .