Every finding on record at Visiting Nurse Association of Florida Inc

During the Recertification survey conducted on 07/13/2026- 07/14/2026 at Visiting Nurse Association of Florida Inc, a home health agancy, Emergency Preparedness was reviewed. Visiting Nurse Association of Florida Inc is in compliance with Emergency Preparedness per Code of Federal Regulations (CFR) 42, Part 484.22, Condition of Participation for Home Health Agencies.

A recertification survey was completed on 07/13/2026 to 07/14/2026 at Visiting Nurse Association of Florida Inc. The agency was not in compliance with Code of Federal Regulations (CFR) 42, Part 484.22, Condition of Participation for Home Health Agencies.

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 interviews, clinical record review, and analysis of Outcome and Assessment Information Set (OASIS) transmission timeliness reports generated during the survey through the Internet Quality Improvement and Evaluation System (iQIES) system, it was determined that the home health agency failed to electronically transmit completed OASIS assessments to the Centers for Medicare and Medicaid Services (CMS) system within 30 days of the start of care date. Four of ten patient records (Patients #1, #8, #9, and #10) reviewed contained completed OASIS assessments that were not transmitted within the required timeframe. The findings include: The OASIS, which is the standardized clinical assessment CMS requires home health agencies to complete and submit for every Medicare patient, was reviewed for the most recent full quarter, April 1, 2026, through June 30, 2026. The report showed that the agency submitted 153 assessments during this period, of which four were transmitted late. Review of ten clinical records selected for survey confirmed that four completed OASIS assessments (Patients #1, #8, #9, and #10) were not transmitted within the required 30‑day timeframe. On July 14, 2026, at 2:45 p.m., an interview was conducted with the Director of Nursing. She stated that agency medical records staff submit OASIS assessments to CMS once the agency has finished reviewing them. When asked who monitors OASIS reports for late submissions, the Director of Nursing stated that this office does not review transmission timeliness data and that the agency Medicare reviewer is responsible for monitoring the agency’s CMS records. She was unable to explain why OASIS assessments were transmitted more than 30 days after completion and stated that she would need to obtain additional information. At 3:00 p.m., an interview was conducted with the Director of Clinical Operations. She stated that OASIS assessments are monitored by the agency’s Medicare team, who send a daily end‑of‑day email summarizing OASIS activity, which she receives. When asked about late submissions, she explained that the agency dissolved its Quality Assurance team in January 2026 because their work overlapped with clinical managers; however, once those responsibilities shifted back to the clinical managers, a backlog developed and OASIS assessments were not submitted timely. She stated she did not know the agency’s current late‑submission rate and that the Medicare team would have that information but confirmed that OASIS assessments must be transmitted within 30 days of the start‑of‑care date. The agency’s OASIS submission policy was requested and provided. A review of the agency’s undated policy titled “Reporting of OASIS Information” revealed that the agency will collect and report OASIS data according to current federal and state requirements. The policy states that completed, encoded, and locked OASIS assessments will be transmitted electronically at least monthly to the CMS system.