One Care, Inc.

“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 review of iQies reports, agency policy, clinical records (CR) and interview with the administrator and director of nursing, the agency failed to follow its policy regarding transmitting OASIS (outcome and assessment information set) for seven (7) of seven (7) clinical records reviewed. (CR # 1, 2, 3, 4, 5, 6 &; 7). Findings included: Review of iQies reports on 1/30/26, at 8:00 A.M. revealed that the agency had not transmitted OASIS information since 2/28/23. An interview was conducted with the administrator and the director of nursing on 1/30/26, at approximately 1:00 P.M. When asked if the agency collects and transmits OASIS data, the administrator and the director of nursing stated they have not submitted OASIS in a few years. Review of clinical records (CR) on 1/30/26, 2/2/26 and 2/4/26 at approximately 10:00 AM. revealed the following: CR #1, start of care 8/1/18, Certification period reviewed: 2/25/25-4/25/25, Discharge date of 3/21/25. CR contained physician orders for skilled nursing (SN) 1 visit per week every 60 days. The CR contained no evidence of the transmission of OASIS data on admission or at the time of recertification for any of the subsequent recertification periods. CR #2, start of care 12/20/16, Certification period reviewed:3/8/25-5/6/25, Discharge date of 3/21/25. CR contained physician orders for SN two (2) visits daily for 60 days. The CR contained no evidence of the transmission of OASIS data on admission or at the time of recertification for any of the subsequent recertification periods. CR #3, start of care 10/18/18, Certification period reviewed: 3/15/25-5/13/25, Discharge date of 3/21/25. CR contained physician orders for SN two (2) visits daily for 60 days. The CR contained no evidence of the transmission of OASIS data on admission or at the time of recertification for any of the subsequent recertification periods. CR #4, start of care 3/20/17, Certification period reviewed: 2/6/25-4/6/25, Discharge date of 3/21/25. CR contained physician orders for SN three (3) visits daily for 60 days. The CR did not contain evidence of the transmission of OASIS data since 2/28/23. Interview with the administrator/director of nursing on 1/30/26, at approximately 2:30 P.M. confirmed that the agency has not been transmitting OASIS data.”

“Reviewed, revised by physician every 60 days CFR(s): 484.60(c)(1) The individualized plan of care must be reviewed and revised by the physician or allowed practitioner who is responsible for the home health plan of care and the HHA as frequently as the patient’s condition or needs require, but no less frequently than once every 60 days, beginning with the start of care date. This Element is not met as evidenced by: Based on a review of agency policy, review of clinical records, and an interview with the agency Administrator/Director of Nursing, the agency failed to ensure the physician reviewed and revised the plan of care no less frequently than once every 60 days for two (2) of four (4) clinical records (CR) reviewed (CR# 1 and 2). Findings include: Agency policy/procedure was reviewed on 2/2/26, at approximately 3:00 p.m. Policy 2.18 “Physician’s Plan of Treatment” stated, “A physician’s plan of treatment shall be dated and signed by the attending physician and incorporated into the agency’s permanent record for the patient/client within 30 days...” A review of CRs was conducted on 1/20/26, 2/2/26 and 2/24/26, at approximately 10 am and revealed the following: CR#1. Start of Care: 8/1/18: The plan of care for the most recent certification period from 2/25/25-4/25/25 was signed by the physician on 4/30/25 (64 days after the start of the certification period). CR#2. Start of Care:12/20/16: The plan of care for the most recent certification period 3/8/25-5/6/25 was not signed by the physician. An interview with the Administrator/Director of Nursing on 1/30/26 at approximately 2 pm confirmed the above findings.”