A recertification survey was conducted at SunCrest Home Health on December 4, 2023, and concluded on December 6 2023. At the time of the survey, the agency was in compliance with 42 CFR Part 418.113, Emergency Preparedness and Covid-19 infection control.
Every finding on record at Suncrest Home Health -Southside, LLC.
Atlanta, Georgia · CCN 117022
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 December 6, 2023
3 findingsA recertification survey was conducted at SunCrest Home Health, on December 4, 2023 and concluded on December 6, 2023. 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 23. The following deficiency was cited:
At discharge CFR(s): 484.55(d)(3) At discharge. This ELEMENT is not met as evidenced by: Based on record reviews, policy review, and staff interview, it was determined that the agency failed to ensure that a comprehensive discharge summary was completed to include the administration of the Outcome and Assessment Information Set (OASIS) at discharge to assist in the continuity of care post discharge for one patient (P) (P#6) of two sampled discharge patients. Findings include: Review of the policy titled, "Discharge Summary", effective date 9/5/22, indicated the discharge summary will incorporate findings from the discharge OASIS assessment. Record review revealed P#6 was admitted to services on 3/13/2023 with a diagnosis of Non-pressure chronic ulcer unspecified part of lower leg (open sore on the skin) and discharged from the agency on 5/25/2023. Review of the document titled, “Discharge Summary” dated 5/25/2023, revealed that the summary lacked the OASIS data assessment which must be completed at time of discharge. On 12/5/2023 at 1:00 p.m., an interview was conducted at the agency with the Administrator who confirmed the discharge OASIS was not completed at discharge. The Administrator did confirm the nurses complete the discharge summaries but were not aware that OASIS discharge assessments were required as well.
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