Every finding on record at Silvercare Living, LLC

Surveyor attempted entrance on 1/8/25 and was unable to conduct a recertification and relicensure survey due to the administrator, alternate administrator, or a designee failing to provide entrance at the agency within 2 hours of surveyor’s’ arrival. Agency Census: Unknown Acronyms: HHSC – Health and Human Services Adm - Administrator PM – Program Manager HCSSA- Home and Community Support Services Agency

Responsible for all day-to-day operations CFR(s): 484.105(b)(1)(ii) (ii) Be responsible for all day-to-day operations of the HHA; This ELEMENT is not met as evidenced by: Based on record review and interview, the Administrator failed to assume appropriate responsibility for all day-to-day operations of the agency in that the administrator did not ensure that: - The administrator failed to ensure that agency posted contact information when office was closed. - The administrator failed to ensure that agency had a message recording on the agency’s phone number of who to contact in the event of patient needs or emergency. -The administrator failed to be available or have the alternate administrator or designee available to allow a surveyor entry. These failed practices could harm agency’s patients due to the administrator’s inability to properly manage the operations of the agency to ensure safe delivery of care. On 1/8/2025 at 10:41 a.m., the surveyor arrived at Agency address A, listed in the Texas Unified Licensure Information Portal (TULIP - a database utilized by the state to maintain licensing, demographic information, complaints, and self-reported incidents on home health and hospice agencies for the State of Texas) to conduct a recertification survey. Surveyor observed there was no note on door regarding who and how to contact if the agency was closed during working hours. Surveyor knocked on the door and tried to open it. The door was locked. Surveyor observed no arrivals or departures from the office; the office was dark; no lights were turned on. On 1/8/2025 at 10:43 am Surveyor called the agency number xxx-xxx-8378 listed in TULIP. The phone rang, no voicemail box picked up to leave a message. On 1/8/2025 at 10:53 am surveyor called the agency number xxx-xxx-8378. The phone rang, no voicemail box picked up to leave message. On 1/8/2025 at 11:13 am surveyor called the agency number xxx-xxx-8378. The phone rang and the following voice message was heard: “You have reached a google number, please leave a message”. Surveyor left a message that she was on site to conduct a survey and would be there until 12:41 pm waiting to gain entry to the agency. On 1/8/2025 at 11:57 am surveyor called the listed contact number for the Adm (xxx-xx-9296). No one answered, and a voicemail indicated, “Please leave a message”. The surveyor left a voice mail message with her contact information and requested to be called. On 1/8/2025 at 12:03 pm surveyor called xxx-xxx-8378 the phone rang several times, no one answered, and the voicemail indicated, “Please leave a message”. The surveyor left a voice mail message to please return call to HHS surveyor and left state cell number. On 1/8/2025 at 12:04 pm emailed Tulip listed agency email: texaschoicehealthcare@gmail.com that the surveyor was on site at the agency and included surveyor’s state cell number with a request for someone to please respond via call or email, indicating two-hour window of 10:41 am - 12:41 pm to arrive to agency. The Surveyor attached the letters Memo 17-01: "Inability to Access Records or Perform a Survey by the Health and Human Services Commission” and MEMO 2023-01 Inability to Access Records or Perform a Federal Survey by Texas Health and Human Services On 1/8/25 at 12:21 pm called xxx-xxx-8378 the phone rang several times, no one answered, voicemail indicated, “Please leave a message”. The surveyor left a voice mail message to please return call to HHS surveyor and left state cell number. On 1/8/25 at 12:27 pm called Tulip listed administrator alternate contact xxx-xxx-9296, no one answered, voicemail indicated, “Please leave a message”. The surveyor left a voice mail message to please return call to HHS surveyor and left state cell number. On 1/8/25 at 12:41 pm Surveyor left the letters Memo 17-01: "Inability to Access Records or Perform a Survey by the Health and Human Services Commission” and MEMO 2023-01 Inability to Access Records or Perform a Federal Survey by Texas Health and Human Services at the agency's address and left the agency unable to contact any administrative personnel or enter the agency to conduct the survey.