Every finding on record at Advantage Home Health Care, Inc

The entity is in compliance with the federal emergency preparedness requirements.

Recertification Survey

Within 48 hours of the patient's return CFR(s): 484.55(d)(2) Within 48 hours of the patient's return to the home from a hospital admission of 24 hours or more for any reason other than diagnostic tests, or on physician or allowed practitioner - ordered resumption date; This ELEMENT is not met as evidenced by: Based on record reviews and interviews the facility failed to ensure a comprehensive assessment was completed within 48 hours of the patient’s return home from a hospital admission for 1 (Patient #6) of 10 patient records reviewed. Findings: Review of the provider’s Resumption of Care Assessment policy dated 2/2023 revealed: Assessment Time Frames: 3. The ROC (Resumption of Care) must be completed within 48 hours (2) calendar days of the ROC date. Review of Patient #6’s clinical record revealed Patient #6’s start of care was 09/28/2023 with a certification period of 09/28/2023 to 11/26/2023. Patient #6 was admitted to the hospital from 10/31/2023 to 11/06/2023. Further review of Patient #6’s clinical record revealed an incomplete ROC assessment dated 11/8/2023. During an interview on 11/13/2023 at 2:30 PM S1 Regional Chief Operating Officer reviewed Patient #6’s clinical record and acknowledged Patient #6’s ROC dated 11/08/2023 was incomplete and was not signed by the nurse within 48 hours and should have been. During an interview on 11/15/2023 at 8:38 PM S3 Administrator/Director of Nursing reported she had seen Patient #6 on 11/08/2023 for his ROC and acknowledged she not completed the record within 48 hours.

Authentication CFR(s): 484.110(b) Standard: Authentication. All entries must be legible, clear, complete, and appropriately authenticated, dated, and timed. Authentication must include a signature and a title (occupation), or a secured computer entry by a unique identifier, of a primary author who has reviewed and approved the entry. This STANDARD is not met as evidenced by: Based on record reviews and interviews the facility failed to ensure clinical record documentation entries were appropriately authenticated for 1 (Patient #6) of 10 patient records reviewed. Findings: Review on 11/13/2023 of Patient #6’s Resumption of Care (ROC) Assessment dated 11/08/2023 revealed an incomplete unsigned assessment. Review on 11/14/2023 of Patient #6’s ROC Assessment dated 11/08/2023 revealed the ROC was signed by S3 Administrator/Director of Nursing and dated 11/08/2023. Review on 11/14/23 of Patient #6’s ROC Assessment Task Details Work Log revealed S3 Administrator/Director of Nursing signed the document on 11/14/2023 at 13:06PM. During an interview on 11/13/2023 at 2:30 PM S1 Regional Chief Operating Officer reviewed Patient #6’s clinical record and acknowledged Patient #6’s ROC dated 11/08/2023 was incomplete and was not signed by the nurse within 48 hours and should have been. During an interview on 11/14/2023 at 2:39 PM S2 Registered Nurse/Regional Director of Operations indicated S3 Administrator/Director of Nursing had signed Patient #6’s ROC Assessment and put the 11/08/2023 date in the signature. During an interview on 11/15/2023 at 8:38 PM S3 Administrator/Director of Nursing reported ROC Assessments were to be signed within 48 hours of the assessment. S3 Administrator/Director of Nursing reviewed Patient #6’s ROC dated 11/08/2023 and reported she had not completed the ROC and signed within 48 hours and should have.