Every finding on record at Solace Pediatric Healthcare Nursing Services, Nv, LLC

A Recertification Survey was conducted by Healthcare Management Solutions, LLC, on behalf of the Nevada Department of Health and Human Services. An unannounced on-site Recertification survey at the above-named Home Health Agency (HHA) from 04/29/25 to 05/01/25 resulted in a finding of no citations respective to the Emergency Preparedness Program Condition of Participation under 42 CRF 484.102.

A Recertification Survey was conducted by Healthcare Management Solutions, LLC, on behalf of the Nevada Department of Health and Human Services. An unannounced on-site Recertification Survey conducted at the above-named Home Health Agency (HHA) facility from 04/29/25 to 05/01/25 resulted in a finding of substantial compliance respective to the applicable Condition of Participation (CoP) under 42 CFR 484, Subparts A through C and the following standard-level deficiencies listed below. The findings and conclusions of any investigation by the Division of Public and Behavioral Health shall not be construed as prohibiting any criminal or civil investigation, actions or other claims for relief that may be available to any party under applicable federal, state, or local laws. The following regulatory deficiency was identified:

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 document review and interview, the Home Health Agency (HHA) failed to electronically transmit completed OASIS assessments (a comprehensive patient assessment) to the Centers for Medicare and Medicaid Services (CMS) system within 30 days after completing the assessment. Patient (P)1, P3, P4, P5 and P9 OASIS assessments were submitted to CMS greater than 30 days after completion of the assessment. The HHA’s failure to submit complete OASIS assessments to MS within 30 days of completion places patients at risk for inaccurate assessments. Findings include: On 04/30/25 at 9:00 AM, the Administrator, Revenue Cycle Director, Operations Area Director, and the Clinical Compliance Coordinator revealed the HHA followed the CMS manual for the completion and transmission instructions for the completion and submission of the patients' OASIS assessments. The Administrator, Revenue Cycle Director, Operations Area Director, and the Clinical Compliance Coordinator confirmed the HHA had changed software and experienced issues with submitting the assessments within 30 days of completion. Review of the OASIS submission data report revealed the HHA failed to transmit completed OASIS information and receive confirmation the OASIS assessment was accepted by CMS as required for seven of 63 OASIS assessments submitted for the first quarter of 2025, six of 21 records submitted the fourth quarter of 2024, four of 28 records submitted the third quarter of 2024 and 20 of 55 records submitted the second quarter of 2024. Review of the OASIS data transmission records received by the HHA following each OASIS data transmission, revealed : Patient (P)1 with a start of care date of 02/18/25 had OASIS assessments submitted more than 30 days after completion of the assessment. P3, with a start of care date of 03/03/25, had OASIS assessments submitted more than 30 days after the completion of the assessment. P4, with a start of care date of 07/31/24, had OASIS assessments submitted more than 30 days after the completion of the assessment. P5, with a start of care date of 07/15/24, had OASIS assessments submitted more than 30 days after the completion of the assessment. P9, with a start of care date of 02/20/25, had OASIS assessments submitted more than 30 days after the completion of the assessment.