Sec. 142.009.  SURVEYS;  CONSUMER COMPLAINTS.  (a)  The department or its representative may enter the premises of a license applicant or license holder at reasonable times to conduct a survey incidental to the issuance of a license and at other times as the department considers necessary to ensure compliance with this chapter and the rules adopted under this chapter.
(a-1)  A license applicant or license holder must provide the department representative conducting the survey with a reasonable and safe workspace at the premises.  The executive commissioner may adopt rules to implement this subsection.
(b)  A home and community support services agency shall provide each person who receives home health, hospice, habilitation, or personal assistance services with a written statement that contains the name, address, and telephone number of the department and a statement that informs the recipient that a complaint against a home and community support services agency may be directed to the department.
(c)  The department or its authorized representative shall investigate each complaint received regarding the provision of home health, hospice, habilitation, or personal assistance services and may, as a part of the investigation:
(1)  conduct an unannounced survey of a place of business, including an inspection of medical and personnel records, if the department has reasonable cause to believe that the place of business is in violation of this chapter or a rule adopted under this chapter;
(2)  conduct an interview with a recipient of home health, hospice, habilitation, or personal assistance services, which may be conducted in the recipient's home if the recipient consents;
(3)  conduct an interview with a family member of a recipient of home health, hospice, habilitation, or personal assistance services who is deceased or other person who may have knowledge of the care received by the deceased recipient of the home health, hospice, habilitation, or personal assistance services; or
(4)  interview a physician or other health care practitioner, including a member of the personnel of a home and community support services agency, who cares for a recipient of home health, hospice, habilitation, or personal assistance services.
(d)  The reports, records, and working papers used or developed in an investigation made under this section are confidential and may not be released or made public except:
(1)  to a state or federal agency;
(2)  to federal, state, or local law enforcement personnel;
(3)  with the consent of each person identified in the information released;
(4)  in civil or criminal litigation matters or licensing proceedings as otherwise allowed by law or judicial rule;
(5)  on a form developed by the department that identifies any deficiencies found without identifying a person, other than the home and community support services agency;
(6)  on a form required by a federal agency if:
(A)  the information does not reveal the identity of an individual, including a patient or a physician or other medical practitioner;
(B)  the service provider subject to the investigation had a reasonable opportunity to review the information and offer comments to be included with the information released or made public;  and
(C)  the release of the information complies with any other federal requirement;  or
(7)  as provided by Section 142.0092.
(e)  The department's representative shall hold a conference with the person in charge of the home and community support services agency before beginning the on-site survey to explain the nature and scope of the survey. When the survey is completed, the department's representative shall hold a conference with the person who is in charge of the agency and shall identify any records that were duplicated.  Agency records may be removed from an agency only with the agency's consent.
(f)  At the conclusion of a survey or complaint investigation, the department shall fully inform the person who is in charge of the home and community support services agency of the preliminary findings of the survey at an exit conference and shall give the person a reasonable opportunity to submit additional facts or other information to the department's authorized representative in response to those findings.  The response shall be made a part of the record of the survey for all purposes.  The department's representative shall leave a written list of the preliminary findings with the agency at the exit conference.
(g)  After a survey of a home and community support services agency by the department, the department shall provide to the home and community support services agency administrator:
(1)  specific and timely written notice of the official findings of the survey, including:
(A)  the specific nature of the survey;
(B)  any alleged violations of a specific statute or rule;
(C)  the specific nature of any finding regarding an alleged violation or deficiency; and
(D)  if a deficiency is alleged, the severity of the deficiency;
(2)  information on the identity, including the name, of each department representative conducting or reviewing the results of the survey and the date on which the department representative acted on the matter; and
(3)  if requested by the agency, copies of all documents relating to the survey maintained by the department or provided by the department to any other state or federal agency that are not confidential under state law.
(g-1)  If the department or the department's authorized representative discovers any additional violations during the review of field notes or preparation of the official statement of deficiencies for a home and community support services agency, the department or the department's representative shall conduct an additional exit conference regarding the additional violations.  The additional exit conference must be held in person and may not be held over the telephone, by e-mail, or by facsimile transmission.
(h)  Except for the investigation of complaints, a home and community support services agency licensed by the department under this chapter is not subject to additional surveys relating to home health, hospice, or personal assistance services while the agency maintains accreditation for the applicable service from The Joint Commission, the Community Health Accreditation Program, or other accreditation organizations that meet or exceed the regulations adopted under this chapter.  Each provider must submit to the department documentation from the accrediting body indicating that the provider is accredited when the provider is applying for the initial license and annually when the license is renewed.
(i)  Except as provided by Subsection (h), the department may not renew an initial home and community support services agency license unless the department has conducted an initial on-site survey of the agency.
(j)  Except as provided by Subsections (h) and (l), a survey may be conducted within 18 months after a survey for an initial license.  After that time, an on-site survey must be conducted at least every 36 months.
(k)  If a person is renewing or applying for a license to provide more than one type of service under this chapter, the surveys required for each of the services the license holder or applicant seeks to provide shall be completed during the same surveyor visit.
(l)  The department and other state agencies that are under the commission and that contract with home and community support services agencies to deliver services for which a license is required under this chapter shall execute a memorandum of understanding that establishes procedures to eliminate or reduce duplication of standards or conflicts between standards and of functions in license, certification, or compliance surveys and complaint investigations.   The memorandum of understanding must be approved by the commission.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.  Amended by Acts 1991, 72nd Leg., ch. 14, Sec. 46, eff. Sept. 1, 1991;  Acts 1993, 73rd Leg., ch. 800, Sec. 12, eff. Sept. 1, 1993;  Acts 1997, 75th Leg., ch. 1191, Sec. 4, eff. Sept. 1, 1997;  Acts 1999, 76th Leg., ch. 276, Sec. 7, eff. Sept. 1, 1999;  Acts 2003, 78th Leg., ch. 198, Sec. 2.56, 2.156(a)(1), eff. Sept. 1, 2003.
Amended by: 
Acts 2007, 80th Leg., R.S., Ch. 809 (S.B. 1318), Sec. 6, eff. September 1, 2007.
Acts 2007, 80th Leg., R.S., Ch. 974 (S.B. 344), Sec. 1, eff. September 1, 2007.
Acts 2011, 82nd Leg., R.S., Ch. 879 (S.B. 223), Sec. 1.03, eff. September 1, 2011.
Acts 2011, 82nd Leg., R.S., Ch. 980 (H.B. 1720), Sec. 11, eff. September 1, 2011.
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 3.0402, eff. April 2, 2015.
Acts 2015, 84th Leg., R.S., Ch. 826 (H.B. 4001), Sec. 7, eff. September 1, 2015.
Acts 2015, 84th Leg., R.S., Ch. 860 (S.B. 1880), Sec. 13, eff. September 1, 2015.
Acts 2015, 84th Leg., R.S., Ch. 1272 (S.B. 760), Sec. 7, eff. September 1, 2015.
Acts 2023, 88th Leg., R.S., Ch. 887 (H.B. 4696), Sec. 4, eff. September 1, 2023.