New Vision Home Health Services 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 record review and interview, the Agency failed to encode and electronically transmit each completed OASIS assessment to the CMS system, within 30 days of completing the assessment of the patient for 10 of 565 assessments processed for the time reviewed from 1/1/2025 to 12/31/2025. This failure resulted in quality data used to continuously improve the effectiveness of home healthcare, failing to be reported to CMS in the required time frame. Findings included: The HHA Error Summary Report, retrieved from the iQIES website for the time of 1/1/2025 to 12/31/2025 was reviewed. Review of the HHA Error Summary Report in IQIES for the time-period 1/1/2025 to 12/31/2025 identified Error #-3330. The description for Error #-3330 read in part, “Record Submitted Late: The submission date is more than 30 days after M0090 (Item M0090 specifies the date the actual assessment was completed) on this new record.” The documentation further identified the number of assessments with the error was 10 assessments and the percentage of assessments with this error was 1.77 of the total of 565 assessments completed by the Agency. An interview was conducted with the Administrator on 3/26/2026 at 11:30 a.m., The HHA Error Summary Report was reviewed with the Administrator. The Administrator acknowledged the responsibility of the late submission and attributed it to staff not turning in their assessments on time. During a record review of an agency policy titled, “Timelines,”, reviewed 01/01/26, read in part… “all completed and encoded OASIS data will be transmitted via electronic communication software… from the Agency… within 30 days of the M0090 date…””

“Infection Prevention CFR(s): 484.70(a) Standard: Infection Prevention. The HHA must follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases. This Standard is not met as evidenced by: Based on observation, record review and interview, the agency failed enforce written policies addressing infection control including the prevention of the spread of infectious and communicable disease with 2 of 4 of the agency’s Patients reviewed (Patient #1, Patient #4), in that: 1) RN B failed to place medical supplies and vital sign equipment (equipment used to measure blood pressure, heart rate, and oxygen levels) on a protective barrier or clean reusable medical equipment prior to returning to medical supply bag. 2) RN A failed to place medical supplies on a protective barrier once removed from supply bag. This failure placed the agency’s patients at risk for an infection. Findings included: During a home observation for Patient #4, on 3/27/2026 at 12:00 p.m., RN B was observed providing patient care. Further observation of RN B revealed that RN B placed medical supplies such as gauze for wound care and bandages directly on the patients’ floor without placing a barrier down. Further observation revealed RN B placing medical equipment including the nurse’s medical bag and reusable vital sign equipment directly on patient furniture without placing a barrier. During record review of Patient #4 clinical record revealed a start of care of 10/31/25, with a certification period of 2/28/2026-4/28/2026, and skilled nursing visits received one to three times weekly and physical therapy visits once weekly. Further record review of Patient #4’s clinical records reveal a diagnosis of epilepsy (irregular electrical impulses to the brain) and a left leg blister for weekly dressing change. During an interview with RN B on 3/27/2026 at 1:00 p.m., RN B was asked about the above findings. RN B stated that she was trained on bag technique and verbalized responsibility. RN B further stated that she was a little nervous during the visit. During home observation for Patient #1 on 3/30/26 at 10:30 a.m., RN A was observed placing wound care supplies (gauze, ointment, cleaning solution) directly on to the patient’s side table without placing a barrier under the supplies. During an interview with RN A on 3/27/2026 at 1:00 p.m., RN A was asked about the above findings. RN A stated that she was trained on bag technique and verbalized responsibility. RN B further stated that placing the wound care supplies on Patient 1’s table without a barrier was an oversight. During record review of Patient #1 clinical record revealed a start of care date of 10/18/2024, with a certification period of 2/10/2026-4/10/2026, and a primary diagnosis of hypertensive heart disease (a heart problem caused by long-term high blood pressure) and wound caused by pressure on the back. Further record review revealed Patient #1 received skilled nursing visits once weekly for wound dressing changes, physical therapy one visit weekly, and home health aide visits twice weekly. During an interview with Alt Admin on 3/30/26 at 1:00 the process of placing a barrier prior to placing equipment down within a home was discussed. The Alt Admin stated that staff received training on proper techniques to prevent the spread of infection to include bag technique and placing a barrier down before setting down equipment or supplies. No training records were given by the Administrator. During record review of agency policy “Bag Technique” last reviewed 05/01/24 read in part… “the bag is placed on a clean surface. In the Patient’s home a barrier is to be placed under the bag. Bags should never be placed on the floor.””