TX HHS Form 5005. What to Expect During Your Agency's Survey (HCSSA)

TX HHS Form 5005, "What to Expect During Your Agency's Survey (HCSSA)", is a crucial document for Home and Community Support Services Agencies (HCSSA) that helps them prepare for a survey. This form outlines the initial, recertification, and follow-up survey process, ensuring agencies are aware of what to expect during their survey.

The survey process begins with an entrance conference, where the surveyor explains the process and answers questions from agency representatives. The surveyor will review clinical records, patient home visits, administrative records, complaint tracking systems, quality assurance plans, policies and procedures, and employee files. During the survey, the surveyor will communicate openly and require copies of reviewed documentation.

The exit conference concludes the survey, where the surveyor provides preliminary findings to agency representatives. If additional violations or deficiencies are identified after the survey, an additional face-to-face exit conference is held. The official notification of survey findings is mailed within 10 working days, followed by a plan of correction (PoC) submission if violations/deficiencies are cited. This form helps agencies understand their responsibilities and timelines for addressing any issues that may arise during the survey process.