Every finding on record at Advanced Home Care Inc

Emergency Preparedness At the time of the emergency preparedness survey completed on 02/03/21, Advanced Home Care Inc., 367625 is in compliance with the provisions of 42 CFR Part 484.102.

Partial Extended Recertification Survey Covid 19 Focus Infection Control Survey The following deficiencies are based on the partial extended recertification survey completed 02/03/21. Advanced Home Care Inc., 367625, is not in compliance with the requirements found at 42 CFR Part 484, Subpart B, C for Home Health Agency. A COVID 19 Focused Infection Control Survey conducted concurrently revealed the facility is in compliance with the requirements at 42 CFR Part 484.70 related to Infection Control.

Provide services in the plan of care CFR(s): 484.75(b)(3) Providing services that are ordered by the physician or allowed practitioner as indicated in the plan of care; This ELEMENT is not met as evidenced by: Based on medical record review and staff interview the agency failed to perform services in the physician's ordered plan of care (485). This affected two of seven patient's reviewed (Patient #1 and Patient #7). Findings include: 1. Medical record review revealed Patient #1 was admitted to the agency on 03/20/20 with diagnoses including mild intellectual disabilities and Diabetes. For the certification period of 11/17/20 to 01/15/21 Patient #1 was to have Skilled Nursing (SN) visits one time each week. The physician's ordered plan of care (485) for this certification period also included the SN to assess diabetic status, identify any signs and symptoms of impaired diabetic function, report significant changes to physician. Review of the SN from 11/17/20 to 01/15/21 revealed no documented evidence Patient #1's diabetes was assessed at all. On 01/28/21 at 2:35 PM Staff A confirmed the above. 2. Medical record review revealed Patient #7 was admitted to the agency on 05/25/12 with diagnoses including Cerebral palsy (CP). The plan of care for the certification period of 08/11/20 to 10/09/20 revealed physician's ordera for Physical Therapy (PT) one time each week. Patient #7's record lacked evidence of any PT services provided. Patient #7 was discharged from the agency on 10/08/20. The medical record lacked evidence of any notification to the physician of missed visits. On 02/03/21 at 11:26 AM Staff B confirmed the above. Staff B stated he/she saw Patient #7 for PT for several years. With Covid-19, Patient #7's parents became concerned for safety and were not comfortable with the patient having contact with people outside of the home. The family hoped the virus would be controlled and didn't want to discontinue therapy. Recertification visits were performed but no other visits were made. After several recertifications it was agreed the virus was here to stay and therapy was discontinued.