Every finding on record at Aba Home Health Care Inc

An Emergency Preparedness Survey was conducted by the Indiana Department of Health in accordance with 42 CFR 494.62. Survey Dates: 05/05/2025 and 05/06/2025 Active Census: 7 At this Emergency Preparedness survey, Aba Home Health Care INC was found in compliance with Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers, 42 CFR 494.62. QR by Area 3 on 5/06/2025.

This visit was for an Initial Federal Certification and State Licensure survey for a Home Health provider. Survey Dates: 05/05/2025 and 05/06/2025 12 Month Unduplicated Admissions: 10 This deficiency report reflects State Findings cited in accordance with 410 IAC 17. Abbreviations: HHA Home Health Aide RN Registered Nurse DON Director of Nursing POC Plan of Care SOC Start of care SN Skilled Nursing QR by Area 3 on 5/06/2025.

State toll free HH telephone hotline CFR(s): 484.50(c)(9) Be advised of the state toll free home health telephone hot line, its contact information, its hours of operation, and that its purpose is to receive complaints or questions about local HHAs. This ELEMENT is not met as evidenced by: Based on record review and interview, the agency failed to ensure the admission packet contained the correct state department of health complaint hotline number for 1 of 1 agency admission packet reviewed. Findings Include: 1. A review of an undated agency policy titled "Client / Patient Bill of Rights - IN" indicated but was not limited to, " … c. Place a complaint with the department regarding treatment or care furnished by a home health agency …" 2. A review of the agency's admission packet evidenced an outdated state department of health hotline number, Entity 1. Entity 1's number was called on 05/05/2025 at 10:514 AM, evidenced the number was not in service. The admission packet failed to evidence the correct state department of health number from Entity 1. 3. During a home visit on 05/05/2025 at 2:00 PM, at Patient # 4's residence, the admission packet provided to them on their SOC of 01/27/2025, evidenced Entity 1's inactive complaint hot line number. The agency failed to have Entity 1's correct complaint hot line number. 4. During a home visit on 05/06/2025 at 12:00 PM, at Patient #2's residence, the admission packet provided to them on their SOC of 04/08/2025, evidenced Entity 1's inactive complaint hot line number. The agency failed to have Entity 1's correct complaint hot line number. 5. During an interview with the Administrator and Director of Nursing on 05/06/2025 at 12:40 PM, the DON indicated they were not aware of the correct complaint hot line number. 410 IAC 17-12-3(b)(2)(C)

Only as ordered by a physician CFR(s): 484.60(b)(1) Drugs, services, and treatments are administered only as ordered by a physician or allowed practitioner. This ELEMENT is not met as evidenced by: Based on record review and interview, the agency failed to ensure they received physician orders for HHA services for 1 of 1 active clinical record reviewed for a patient who received SN and HHA services. (Patient #2) Findings Include: 1. A review of a 02/2025 agency policy titled "Physician or Allowed Practitioner's Orders", Policy No. PC-008.1 indicated but was not limited to, " … The Agency must ensure that all medications, treatments, and services provided to clients/patients are ordered by a physician or allowed practitioner …" 2. A review of Patient #2's clinical record evidenced a POC with a SOC date of 04/08/2025 and a certification period from 04/08/2025 to 06/06/2025. The POC evidenced the following diagnoses: Dementia (a condition where a person's memory and mental abilities deteriorate and worsen over time affecting every activities), Glaucomatous flecks (spots on the lens of the eye caused by increased pressure), pain in the shoulder and knee, muscle weakness, Gastro-esophageal reflux disease (a disorder where stomach content goes back up the esophagus). The patient received SN services one time a week for nine weeks for medication set-up. Patient #2's clinical record evidenced a document titled "HHA Order" dated and signed by RN 1 on 04/17/2025. The order indicated the patient received HHA services three to five hours a day, one to three days a week, for eight weeks with an effective date of 04/21/2025. The order was not signed by the physician. Patient #2's clinical record evidenced HHA visit notes dated 04/17, 04/18, 04/22, 04/24, and 04/25/2025 and signed by HHA 1. Patient #2's clinical record failed to evidence a communication note or order indicating the physician was informed of the agency starting HHA services for Patient #2 effective 04/21/2025. During an interview with RN 1 on 05/06/2025 at 10:17 AM, they indicated the order should have indicated Patient #2's HHA services started 04/17/2025. They explained they had no documentation of when they called the physician's office for the HHA orders and from whom they received the order. 410 IAC 17-13-1(a)