Every finding on record at Adoration Home Health LLC

An Emergency Preparedness recertification and re-licensure survey was conducted on 5/26/2026 - 5/28/2026. The facility meets all of the requirements for Emergency Preparedness. There were no deficiencies identified.

A recertification survey was conducted on 5/26/2026 - 5/28/2026. An entrance conference was held on 5/26/2026 at 10:00 AM with the Administrator. An exit conference was held on 5/28/2026 at 11:30 AM with the agency's administration.

Discharge and transfer summaries CFR(s): 484.110(a)(6)(i-iii) (i) A completed discharge summary that is sent to the 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) within 5 business days of the patient's discharge; or (ii) A completed transfer summary that is sent within 2 business days of a planned transfer, if the patient's care will be immediately continued in a health care facility; or (iii) A completed transfer summary that is sent within 2 business days of becoming aware of an unplanned transfer, if the patient is still receiving care in a health care facility at the time when the HHA becomes aware of the transfer. This ELEMENT is not met as evidenced by: Based on policy review, medical record review, and interview, the agency failed to send a completed summary to the physician within 5 days after the Discharge or a Transfer Summary within 2 days of the transfer for 3 of 5 (Patient #13, #15, and #17) patients reviewed. 1. Review of the agency's "TRANSFER AND DISCHARGE," policy with a revision date of 9/9/2025, revealed, "...The agency will complete and provide a written transfer summary to the receiving facility…Within two (2) business days of a planned transfer…or…becoming aware of an unplanned transfer…A completed discharge summary will be sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the agency within five (5) business days of the patients discharge..." 2. Medical record review for Patient #13 revealed a Start of Care date of 5/2/2026 with diagnoses which included Hypertensive Chronic Kidney Disease, Sleep Apnea, Osteoarthritis, and Irritable Bowel Syndrome. Patient #13 was discharged from the agency on 5/11/2026. Review of the “Fax Status Report” revealed Patient #13’s documentation of the discharge summary was sent to the physician on 5/18/2026 (7 days after discharge). Medical record review for Patient #15 revealed a Start of Care date of 1/19/2026 with diagnoses which included Right Femur Fracture, Anxiety Disorder, History of Falling, and Diabetes. Patient #15 was discharged from the agency on 2/26/2026. Review of the “Fax Status Report” revealed Patient #15’s documentation of the discharge summary was sent to the physician on 3/31/2026 (33 days after discharge). Medical record review for Patient #17 revealed a Start of Care date of 1/7/2025 with diagnoses which included Pressure Ulcer of Sacral Region, Stage 3, Anemia, Dependence on Renal Dialysis and Obstructive Sleep Apnea. Patient #17 was discharged from the agency on 4/21/2026. Review of the “Fax Status Report” revealed Patient #17’s documentation of the discharge summary was sent to the physician on 5/20/2026 (29 days after discharge). 3. During an interview in the conference room on 5/28/2026 at 11:30 AM, the Administrator stated the transfer and discharge summary for Patient #13, #15 and #17 were sent to the provider late.