Every finding on record at Superior Integrated Home Health Care, Inc

A second attempt was made for a recertification and relicensure survey on 04/18/24 at 10:20 AM at the agency's address listed in TULIP. The survey could not be conducted as no agency staff arrived to allow entry into the agency for survey. Census is unknown. The surveyor left the agency's location on 04/18/24 at about 10:53 AM. The surveyor did not conduct the survey. Abbreviations used: Adm-Administrator Alt Adm-Alternate Administrator CMS- Centers for Medicare and Medicaid Services HCSSA – Home and Community Support Services Agency HHSC - Health and Human Services Commission L&CHHS - Licensed and Certified LHHS - Licensed Home Health Services PAS - Personal Assistance Services TULIP: Texas Unified License Information Portal

Available during all operating hours CFR(s): 484.105(b)(3) The administrator or a pre-designated person is available during all operating hours. This ELEMENT is not met as evidenced by: Based on observation, interview and record review, the administrator or a pre-designated person failed to be physically present at the agency during all operating hours for the agency for 1 of 1 day (Thursday- 4/18/2024) during the hours of 9:00 am to 4:00 pm, in that: The surveyor arrived at the agency’s physical address on 4/18/2024 at 10:20 am during the agency operating hours and found the agency closed. Contact with the administrator indicated that the administrator and alternate administrator were not available to allow entry into the agency to conduct the survey. This failure placed the agency out of compliance with State and Federal regulations. Findings Include: Record review of web-based licensure system 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), listed the administrator and alternate administrator personnel. TULIP also listed the agency address as 7203 Athlone Dr, Houston, Tx 77088, and the operating Hours: 9: 00 a.m.- 4:00 p.m. (Monday - Friday). The agency's categories of service were listed as L&CHHS, LHHS and PAS. TULIP revealed a license effective date of 09/30/21 and an expiration date of 09/30/2024. Observation on 04/18/24 at 10:20 a.m., the surveyor arrived at the agency location (personal residence) to conduct a recertification and relicensure survey. Observation revealed no sign posted on the doorway at the agency's address listed in TULIP. Further observation at the doorway area revealed there was no telephone number or operating hours posted on a sign at the agency's doorway. At this time the surveyor rang the doorbell five times and knocked on the door two times. No one answered the door. The surveyor returned to the vehicle and called the agency phone number listed in TULIP. There was no answer; the surveyor left a message regarding the visit and requested a return phone call. Interview on 04/18/24 at 10:24 am the surveyor received a return call from a representative who identified herself as the agency Adm listed in TULIP. The surveyor informed the Adm (via phone) she was at the agency location to conduct a recertification and re-licensure survey. The Adm stated, "I’m not available for a survey because I’ve been out of the country for about the last two weeks”. The surveyor asked if the Alt Adm was available to allow entry for the survey and the Adm stated, “the Alt Adm is also out of the country and no one else is available to allow entry into the agency”. The Adm stated, “I have zero patients and it’s been 1-2 years since we last had any patients on service with our agency”. Record review of TULIP on 04/18/24 revealed there was no note to indicate the agency requested a suspension of operations. At 10:48 am the surveyor pushed the letter Memo 17-01: "Inability to Access Records or Perform a Survey by the Health and Human Services Commission", underneath the agency door mat as requested by the agency Adm listed in TULIP. The survey was not conducted, and the surveyor left the agency's premises at about 10:53 AM. The letter Memo 17-01: "Inability to Access Records or Perform a Survey" by the Health and Human Services Commission (HHSC) dated 04/18/2024 was emailed to the Adm’s email address located in TULIP at 1:54 pm.