Every finding on record at Activus, LLC

Based on a recertification survey conducted 4/18/2022 through 4/20/22, it was determined that Active Home Health was found in compliance with the Conditions of Participation for Emergency Preparedness; 42 CFR (Code of Federal Regulations) 484.22 and 484.102. No deficiencies were cited.

Review and revision of the plan of care CFR(s): 484.60(c) Standard: Review and revision of the plan of care. This STANDARD is not met as evidenced by: Based on interview and record review, it was determined the agency did not ensure the individualized plan of care was reviewed and revised as the patient's condition or needs required for 10 of 10 sampled patients. (Patient identifiers: 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10.) Findings include: Medical records for patients 1, 2, 3, 4, 5 6 7. 8, 9, and 10 were reviewed. A review of the Home Health Certification and Plan of Care for each of the 10 patients revealed the plan of care had not been updated or revised as the patient’s condition or needs required. A review of the agency Care Plan Process Policy revealed; “The Nursing Care Plan Update form may be utilized to update the care plan between certification and re-certifications to document modifications. Will reflect new problems, interventions, goals, and goal evaluation/goal resolution.” On 4/20/2022, at 9:30 AM, an interview was conducted with the administrator and the clinical director. The clinical director stated the agency had no way of revising the plan of care once the certification and plan of care had been signed by the physician. The clinical director stated the agency used the physician orders and nursing documentation as the revised plan of care. The clinical director further stated the agency staff did not use a nursing care plan update form.