H&M Care Inc

The Home Health Agency (HHA) failed to report OASIS information.

The Home Health Agency (HHA) failed to maintain an effective, ongoing, agency-wide, data-driven QAPI program.

The Home Health Agency (HHA) failed to ensure Home Health Aides were qualified to provide services.

The Home Health Agency (HHA) failed to develop an emergency preparedness plan to include a facility-based and community-based risk assessment, utilizing an all-hazards approach that categorized the likelihood of events that may occur in the agency’s geographical area.

The Home Health Agency (HHA) failed to ensure staff emergency preparedness training was documented for four (4) of seven (7) personnel files (PF) reviewed, (PF1, PF2, PF6, and PF7).

The Home Health Agency (HHA) failed to conduct a full-scale community-based or facility-based functional exercise at least every two (2) years.

The Home Health Agency (HHA) failed to encode and electronically transmit completed OASIS (Outcome and Assessment Information Set) assessments to the CMS (Centers for Medicare and Medicaid Services) system.

The Home Health Agency (HHA) failed to measure, analyze, and track quality indicators, including adverse patient events, and other aspects of performance that enable the HHA to assess processes of care, HHA services, and operations.

The Home Health Agency (HHA) failed to utilize data to monitor the effectiveness and safety of services and quality of care and identify opportunities for improvement.

The Home Health agency (HHA) failed to provide evidence that the QAPI program focused on high risk, high volume, or problem-prone areas, and considered the incidence, prevalence, and severity of problems in those areas.

The Home Health Agency (HHA) failed to show evidence of tracking adverse patient events, analyzing their causes, and implementing preventive actions.

The Home Health Agency (HHA) failed to identify one performance improvement project either in development, on-going or completed in 2024 or 2025. Findings include: Reviewed HHA policies and procedures on 9/11/2025 from approximately 11:27AM until approximately 12:05PM.

The Home Health Agency (HHA) failed to ensure the Governing Body assumed overall responsibility for ensuring that the QAPI program reflected the complexity of the HHA and its services, involved all services (including those provided under contract or arrangement), focused on indicators related to…

The Home Health Agency (HHA) failed to demonstrate the presence of the following: Infection control education provided to staff at periodic intervals consistent with accepted standards of practice.

The Home Health Agency (HHA) failed to ensure personnel files contained initial and current certifications, for one (1) of seven (7) personnel files reviewed (PF6).

The Home Health Agency (HHA) failed to ensure meetings were held for the Governing Body.

The Home Health Agency (HHA) failed to transmit OASIS (Outcome and Assessment Information Set) data using electronic communications software that complies with the Federal Information Processing Standard from the HHA or the HHA contractor to the CMS collection.

The Home Health Agency (HHA) failed to ensure the RN conducted the initial comprehensive assessment for one (1) of seven (7) clinical records reviewed (CR5).

The Home Health Agency (HHA) failed to follow its policy and failed to ensure the individual plan of care (POC) contained the following: (i) All pertinent diagnoses; (ii) The patient's mental, psychosocial, and cognitive status; (iii) The types of services, supplies, and equipment required; (iv)…

The Home Health Agency (HHA) failed to ensure the physician or approved personnel reviewed and revised the plan of treatment at least every 60 days or as the patient’s condition changed, for one (1) of seven (7) clinical records (CR) reviewed (CR5).

The Home Health Agency (HHA) failed to demonstrate the presence of the following: a Home Health Aide successfully completed a training and competency evaluation program.

The Home Health Agency (HHA) failed to demonstrate the presence of the following: Home health aide training must include classroom and supervised practical training in a practicum laboratory or other setting in which the trainee demonstrates knowledge while providing services, for two (2) of two…

The Home Health Agency (HHA) failed to provide evidence of documentation of home health aide competency and supervised practical training.

The administrator failed to ensure personnel files contained initial and annual skills evaluations, annual performance evaluations, and initial health examinations with annual education, for four (4) of seven (7) personnel files reviewed (PF1, PF2, PF6, and PF7).