Every finding on record at Visiting Nurse Association & Hospice of Western New England Inc

A recertification survey was conducted at Baystate Home Health Agency, located at 30 Capital Drive, West Springfield, MA 01089, on 8/20/24, 8/21/24, and 8/22/24, for compliance with 42 CFR Part 484.102 Emergency Preparedness for Home Health Agencies. As a result of this survey, it was determined the agency was in compliance with the Condition of Participation for Emergency Preparedness. No deficiencies were cited.

A recertification survey was conducted at Baystate Home Health Agency, located at 30 Capital Drive, West Springfield, MA 01089, on 8/20/24, 8/21/24 and 8/22/24, to determine compliance with the 42 CFR Part 488 requirements for Home Health Agencies. As a result of this survey, it was determined the agency was not in compliance with these requirements. A 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 document review and staff interview, the agency failed to ensure Outcome and Assessment Information Set (OASIS) assessments were transmitted to Centers for Medicare and Medicaid Services (CMS) within 30 days of completing the assessment of the beneficiary, as required. Findings include: Review of the agency's Home Health Agency Error Summary Report, dated 4/1/24 through 8/15/24, indicated that 252 of 5112 OASIS Assessments processed were submitted more than 30 days after completion. During an interview on 8/21/24 at 9:00 A.M., the Director of Finance said that data on the Error Summary Report was correct, and those 252 OASIS Assessments had been submitted late.