Every finding on record at Adara Home Healthcare LLC

A complaint survey, prompted by #CO2749434, was completed on 2/24/26. One deficiency was cited.

Development and evaluation of plan of care CFR(s): 484.75(b)(2) Development and evaluation of the plan of care in partnership with the patient, representative (if any), and caregiver(s); This ELEMENT is not met as evidenced by: Based on record review and interview, the agency failed to assume responsibility for the development and evaluation of the plan of care. Specifically, for 2 of 6 sample patients, skilled professionals did not include information in the plan of care regarding delivery of wound care supplies (Patient #2 and #6). Findings include: 1) The clinical record for Patient #6 was reviewed on 2/24/26. Plan of care orders for the certification period dated 2/21/26 to 4/21/26 revealed a start of care date of 12/23/25; diagnoses included pressure ulcer of sacral region and type 2 diabetes. Plan of care orders included skilled nursing visits once per week for wound care. a) The agency failed to assume responsibility for the development of the plan of care to include necessary information regarding delivery of wound care supplies. During an interview at a home visit with Patient #6 at 9:30 a.m. on 2/24/26, Patient #6 stated his wound care supplies were frequently delivered late. Review of the delivery confirmation receipts for the wound care supplies for Patient #6 revealed timely delivery with date and time stamps. During an interview with the agency’s director of nursing (DON) at 10:44 a.m. on 2/24/26, the DON stated she would look into the discrepancies between the delivery confirmation receipts and the late delivery of wound supplies for Patient #6. She also stated Patient #6 and another patient, Patient #2, who had called the office with a complaint of supplies being delivered late, both lived in apartment complexes where delivery of supplies routinely went to the office instead of directly to the patients’ apartments. The DON stated she had learned the supplies were ordered and delivered from the carrier in a timely manner, but delivery of the supplies to the patients was being held up because the supplies were not making it from the apartment offices or mailrooms to the apartments of the patients. 2) The clinical record for Patient #2 was reviewed on 2/23/26. Plan of care orders for the certification period dated 1/26/26 to 3/26/26 revealed a start of care date of 1/26/26; diagnoses included disruption of external operation (surgical) wound and encounter for other orthopedic aftercare. Plan of care orders included physical therapy once per week for improvement of functional mobility and skilled nursing three times per week for wound care. a) The agency failed to assume responsibility for the development of the plan of care to include necessary information regarding delivery of wound care supplies. Review of agency documents revealed Patient #2 had called the agency with a complaint on 2/10/26. Review of the agency’s investigation into the complaint revealed it included patient dissatisfaction with wound care supplies not being delivered in a timely manner. Review of the delivery confirmation receipts for the wound care supplies for Patient #2 revealed timely delivery with date and time stamps. During an interview with the DON and agency administrator on 2/24/26 at 2:18 p.m., the DON stated the agency had learned the late delivery of supplies for Patient #2 was due to the delivery process at the apartment complex, and the agency had not found a way to resolve the issue. She stated no information regarding the delivery of wound care supplies to the apartment office or mailroom had been included in the medical record or in the plan of care. She stated the home health agency had not found a way to ensure the patient and all agency staff were provided with information on the process for wound care supplies to be delivered to the patient.