Every finding on record at Suncrest Home Health of Georgia, Inc.

A Recertification survey was conducted at Suncrest Home Health on September 15, 2025, and concluded on September 17, 2025. At the time of the survey, the agency was in compliance with 42 CFR Part 418.113, Emergency Preparedness and Covid-19 infection control.

A Recertification survey was conducted at Suncrest Home Health on September 15, 2025 and concluded on September 17, 2025. At the time of the survey, the agency was not in compliance with compliance with Chapter 42 CFR Part 418, Rules and Requirements for Home Health and Hospice Agencies. The census was 64. The following deficiency was cited.

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 the Centers for Medicare & Medicaid Services (CMS) Home Health Agency (HHA) Error Summary by agency report, policy titled “OASIS Data Capture, Transmission, Verification, Display and Reports,” and staff interview, it was determined that the agency failed to electronically transmit monthly Outcome and Assessment Information Set (OASIS) data collected to the CMS system every 30 days. Findings include: Review of CMS report titled “HHA Error Summary by Agency,” with a report period of 8/1/2024 - 8/1/2025, and report run date of 08/13/2025 revealed the agency failed to transmit OASIS data to the CMS system within 30 days. Review of the policy titled “OASIS Data Capture, Transmission, Verification, Display and reports," last revised 03/01/2021, revealed the following: 2. Transmittal Of Oasis Data: At least monthly, Agency will electronically transmit accurate, completed, encoded and locked OASIS data to the state agency. All OASIS assessments completed must be transmitted within thirty (30) days of M0090 date. On 09/16/25 at 11:30 am, during an in-office interview, the Director of Nursing (DON) confirmed awareness of the 30-day OASIS submission timeframe requirements not met during the time frame of 8/1/24 through 8/1/025.

At the time of the survey, Suncrest Home Health in Savannah Ga. was in compliance with 42 CFR Part 484.22 Emergency Preparedness for Home Health Agencies as a result of a recertification survey conducted on October 26, 2022. No deficiencies were cited.

At the time of the Recertification survey, Suncrest Home Health in Savannah, Georgia was in substantial compliance with 42 CFR Part 484, Requirements for Home Health Agencies as a result of the survey conducted on October 26, 2022. Current census 71. The follow deficiencies were cited.

Provide services in the plan of care CFR(s): 484.75(b)(3) Providing services that are ordered by the physician or allowed practitioner as indicated in the plan of care; This ELEMENT is not met as evidenced by: Based on clinical record reviews and staff interviews, it was determined the agency failed to ensure that appropriate care and services were provided in conformance with the patients' plans of care as ordered by physician for 2 of 7 (#2 and #3) sampled patients (P). Findings were: 1.Review of the clinical record for patient #2 with a certification period of 9/9/22 to 11/7/22 and diagnosis of Type 2 Diabetes Mellitus with diabetic polyneuropathy revealed a verbal order dated 10/11/22 which required the social worker to evaluate the patient for aide services and activities of daily living/homemaker assistance. As of 10/26/22 the social worker had not been out to evaluate the patient as ordered. During a home visit observation on 10/25/22 at approximately 12:00 p.m., with the physical therapist (PT), the patient inquired to this surveyor if I would be able to assist with getting bed pads and aide services to help with a bath. The patient stated the social worker was suppose to come for a visit but never came. The PT did acknowledge the Social Worker had not been out to see the patient during the home visit observation. The Social Worker failed to evaluate the patient as ordered. During an interview on 10/26/22 at approximately 10:00 a.m., the Executive Director did provide a physician’s order dated 10/11/22 for the Social Worker to evaluate the patient but did admit the Social Worker has not made a visit as of 10/26/22 to evaluate the patient. The Executive Director did state the Social Worker would evaluate the patient this week (10/26/22). 2. Review of the plan of care for patient #3 with a certification period of 8/27/22 to 10/25/22 and diagnosis of pressure ulcer of the left buttock (stage 3) and right buttock, (stage 4) revealed wound care orders dated 10/7/22 which required the skilled nurse (SN) to perform wound care to the right buttock as follows: cleanse wound to right buttock with wound cleanser, moistened prisma with normal saline and place at base/undermining of wound. Pack wound with black sponge, cover with vac drape, apply suction disc, wound vac to run at 125mmgh continuously. The SN visited the patient on 10/11/22 and documented wound care as follows: cleansed right buttocks wound with wound cleanser and applied wound vac to the wound. The SN failed to use the moistened prisma per the physician’s order. During an interview on 10/26/22 at approximately 10:00 a.m., the Executive Director did confirm that on 10/11/22, the SN failed to follow the ordered wound care procedure.