Every finding on record at Adoration Home Health Care Virginia LLC

An unannounced on-site complaint investigation was conducted on 07/14/2025. Standard level deficiencies to the Medicare Conditions of Participation were identified.

Discharge plans communication CFR(s): 484.60(c)(3)(ii) (ii) Any revisions related to plans for the patient's discharge must be communicated to the patient, representative, caregiver, all physicians or allowed practitioner's issuing orders for the HHA plan of care, and the patient's primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the HHA (if any). This ELEMENT is not met as evidenced by: Based on agency policy, clinical record review, and staff interviews, the agency failed to notify a patient of a pending discharge for 1 of 1 discharged patient with a record review conducted. (#1) Findings included: A policy, Transfer and Discharge (revised 01/22/2025) received on 07/14/2025 from the Area Vice President stated, “The evaluation of a patient’s discharge needs and discharge plan will be documented in a timely manner. The evaluation will be included in the clinical record and discussed with the patient and patient’s representative (if any). The patient will be informed of their discharge plan and acknowledge understanding of the reason for discharge.” Patient #1 was admitted on 04/11/2025 with a diagnosis of aftercare following surgery for neoplasm (cancer). The plan of care for 04/11/2025-06/09/2025 included orders for skilled nurse visits 1 time a week for 8 weeks and 3 times a week for 1 week. Review of the clinical record revealed that patient #1 was discharged on 06/09/2025 due to a recertification visit decline. There was no documentation in the clinical record of the patient being notified about the discharge. An interview conducted on 07/14/2025 at 2:57 PM with the administrator revealed that the expectation is that the patient’s receive a minimum of 48 hours’ notice before discharge and the notice should be documented.