Every finding on record at Acclaim Home Health Services, Inc

SUBSTANTIAL ALLEGATION SURVEY SUBSTANTIAL ALLEGATION 62620 The following deficiency is based upon substantial allegation 62620 completed on 05/17/22. Acclaim Home Health Services is not in compliance with the requirements found at 42 CFR Part 484, Subpart B, C, Home Health Agencies.

Receive all services in plan of care CFR(s): 484.50(c)(5) Receive all services outlined in the plan of care. This ELEMENT is not met as evidenced by: Based on record review and staff interview, the facility failed to ensure that home health aide services were delivered as planned. This affected one (Patient #1) of three records reviewed. The census was 68 patients. Findings include: Review of Patient #1’s plan of care dated 04/01/22 revealed there were nursing and home health aide services daily. Review of the home health aide frequency revealed the home health aide services were scheduled five days per week for assistance with activities of daily living, including bathing, grooming, dressing, housekeeping, linen change, and meal preparation for each visit. Review of the written detail of the care plan revealed the home health aide tasks of shower, grooming, dressing, linen change and meal preparation were to be provided every visit. Review of staff documentation in the time sheets for the timeframe 03/25/22 to current date, 05/16/22, revealed shower assistance was not completed on 04/04/22, 04/06/22, 04/07/22, 04/12/22, 04/14/22, 04/19/22, 04/22/22, 04/28/22, 04/28/22, 05/03/22, 05/05/22, 05/10/22, and 05/12/22. Review of the documentation revealed no reason documented for the lack of care. Review of each time sheet note revealed no additional documentation to clarify if there was a refusal by the patient or another action for personal care those dates. During interview on 05/17/22 at 10:40 AM, Staff B stated the shower care was scheduled for each visit and should be completed or the aide should note why the care was missed. Staff B confirmed that there was no documentation for the scheduled shower assistance on some of the dates and the expectation was for the care completed to be noted or documented when not received. This deficiency substantiates complaint number 62620.