Deficiency Index

Every finding on record at Saad Enterprises, Inc.

Diberville, Mississippi · CCN 257128

3 findings across 1 survey, in the inspector's own words.

The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.

Survey of July 18, 2024

3 findings
E0000

*EMERGENCY PREPAREDNESS* Survey conducted on 07/15-07/18/2024 revealed the above HHA facility meets all applicable Federal, State and local emergency preparedness requirements. No deficiencies were cited.

G0000

* D'IBERVILLE * The Medicare Recertification survey conducted 07/15-07/18/2024 revealed the above facility has met all Medicare Conditions of Participation for Home Health Agencies (HHA). However, Standard-level deficiencies were cited. ___________________

G0372

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 staff interview, policy and procedure review, and review of the facility report “HHA error summary by agency”, the facility failed to encode and electronically transmit each completed Outcome and Assessment Information Set (OASIS) assessment within 30 days of completing the assessment of the beneficiary for three (3) patients in the past six (6) months: 01/01/2024-07/10/2024. Findings Include: An interview with the Administrator on 07/17/2024 at 10:55 a.m. confirmed the agency is supposed to submit OASIS data within 30 days of completing Oasis Data Sets. Review of the facility Internet Quality Improvement and Evaluation System (IQIES) report, “The HHA Error summary report by Agency”, dated 01/01/2024-07/10/2024 for the past six (6) months revealed, Error -3330 for three (3) patient assessments submitted late within 30 days of completing the assessment of the beneficiary. Review of facility’s policy, “Oasis Transmission Policy” date enacted 01/23 revised 02/2024, confirmed “…Purpose/Objective 1.1 …data will be edited, encoded and locked in the computer in order to transmit the data to the State and Federal Government within 30 days…”. During the exit conference on 07/18/2024 at 1:30 p.m. with the Administrator, Director of Nursing, and Director of Clinical Services. Survey findings were discussed, and no further documentation was submitted for review.

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Federal survey findings only. State licensure findings for home health agencies are not shown.

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