A re-licensure, re-certification survey was conducted on 8/10/2023. The census was Licensed and Certified: 39, Licensed Home Health Services: 0 and Personal Assistance Services: 0. The agency is in substantial compliance with 42 CFR Part 484, Conditions of Participation.
Every finding on record at Adelaide Home Health LLC
Plano, Texas · CCN 677854
3 findings across 1 survey, in the inspector's own words.
The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.
Survey of August 10, 2023
3 findingsA re-licensure, re-certification survey was conducted on 8/10/2023. The census was Licensed and Certified: 39, Licensed Home Health Services: 0 and Personal Assistance Services: 0.
Visit schedule CFR(s): 484.60(e)(1) Visit schedule, including frequency of visits by HHA personnel and personnel acting on behalf of the HHA. This ELEMENT is not met as evidenced by: Based on record review, home visit and interview, the agency failed to provide a comprehensive visit schedule, including frequency of visits by the home health agency personnel in 1 of 3 home visits conducted. Citing Patient # 4. This failure could potentially cause the patient to not receive the care that is consistent with the most current plan of care. On 8/10/2023 at 12:10 p.m., a home visit was conducted with Patient #4. Review of Patient #4's home folder did not contain a visit schedule. Nor was there a visit schedule visible in the area of the home where the visit took place. A telephone interview was conducted with Patient # 4 on 8/11/2023 at 3:05 p.m. The surveyor asked Patient #4 if the agency ever provided a visit schedule. Patient #4 stated "No." An interview was conducted with the the agency's Administrator and Alternate Administrator on 8/11/2023 at 3:15 p.m. The surveyor inquired as to why there was no visit schedule at the home of Patient #4. The Alternate Administrator stated " I didn't know were supposed to."
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