Every finding on record at Advocates Home Health Care LLC

An Emergency Preparedness survey was conducted by the Indiana Department of Health in accordance with with 42 CFR 484.102. Survey dates: 12-11-2023, 12-12-2023, and 12-13-2023 Active Census: 15 At this Emergency Preparedness survey, Advocates Home Health Care LLC was found to be in compliance with Emergency Preparedness requirements for Medicare and Medicaid Participating Providers and Suppliers, 42 CFR 484.102. QR completed by A3 on 12/18/2023.

This visit was for a Federal Recertification and State Re-Licensure survey of a Home Health Provider. Survey Dates: 12-11-2023, 12-12-2023, and 12-13-2023 12 Month Unduplicated Skilled Admissions: 18 This deficiency report reflects State Findings cited in accordance with 410 IAC 17. QR completed by A3 on 12-18-2023.

Responsible for all day-to-day operations CFR(s): 484.105(b)(1)(ii) (ii) Be responsible for all day-to-day operations of the HHA; This ELEMENT is not met as evidenced by: Based on policy review and interview, the agency failed to ensure the administrator was responsible for telecommunications, by failing to ensure a reliable mode of communication was in place on-call/after-hours allowing patients/family to reach agency staff in the event of a change in condition or concerns outside of the agency's operating hours with the potential to affect all 18 agency patients. Findings include: 1. A review of an agency policy pn 12-13-23 titled ‘On-Call Coverage Reference #1010, revealed, " ... A nurse shall be available by phone 24 hours, 7 days a week ... a nurse shall be on-call during evening, weekend, and holidays when the HHA office is closed ... " 2. On 12-12-2023 at 7:04 PM, this Surveyor attempted to reach the agency by calling the phone number listed on the admission packet. The call rang, which indicated 4 prompts, 1 - leave a general message, 2 - urgent to be connected to a nurse, 3 - for scheduling, 4 - to reach the owner of the company; this Surveyor pressed number 2, and the call ended abruptly. At 7:29 PM, this Surveyor attempted to reach the agency, used the same information above, and the call ended abruptly. At 7:29 PM, this Surveyor attempted to reach the agency, but pressed number 3 for scheduling, to see if the call would end abruptly, but was able to leave a voice message, and received a call back at 9:02 PM from the scheduler 3. On 12-13-2023 at 1:25 during an interview, the administrator indicated they were unaware of the on-call phone system not working correctly, the last time the on-call phone system failed was June or July of 2023, and Entity B had been contacted to get the issued resolved. 410 IAC 17-12-1(c)(1) 410 IAC 17-12-1(c)(4)