Every finding on record at All Care Plus, Inc

An Emergency Preparedness survey was conducted from 4/11/2023 to 4/13/2023 at Quality Home Health. No deficiencies were cited under CFR Part 484.22 Condition of Participation for Home Health Agencies.

A Recertification survey and investigation of complaints 95601 and 96155 was conducted at Quality Home Health. Deficiencies were cited related to the recertification survey under CFR Part 484, Requirements for Home Care Organizations Providing Home Health Care. No deficiencies were cited in relation the complaint investigation.

All orders recorded in plan of care CFR(s): 484.60(a)(3) All patient care orders, including verbal orders, must be recorded in the plan of care. This ELEMENT is not met as evidenced by: Based on medical record review, observation and interview, the agency failed to update the current Home Health and Certification Plan of Care (485) with new medication for 1 patient (#5) of 17 patients reviewed. The findings included: Medical record review revealed Patient #5 was admitted to the agency on 12/10/2017 with diagnoses including Heart Disease of Native Coronary Artery and Atrial Fibrillation. Observation of Patient #5 on 4/12/2023 at 9:40 AM, in the patient's home, revealed a prescription bottle containing Eliquis (anticoagulant medication used to treat or prevent blood clots) 5 mg (milligrams) 1/2 tablet twice a day. Further review revealed the date of the prescription was 3/15/2023. Medical record review of the 485 dated 3/23/2023 to 5/21/2023 did not include the Eliquis medication. Interview with the Clinical Operation Manager on 4/13/2023 at 9:30 AM, in the conference room, revealed the current 485 had not been updated with the new medication - Eliquis.

Review and revision of the plan of care CFR(s): 484.60(c) Standard: Review and revision of the plan of care. This STANDARD is not met as evidenced by: Based on policy review, medical record review, observation and interview, the agency failed to update the medication profile with new medication for 1 patient (#5) of 17 patients reviewed. The findings included: Review of the Medication Orders policy revised on 3/11/2021 revealed "...The medication profile will be updated..." Medical record review revealed Patient #5 was admitted to the agency on 12/10/2017 with diagnoses including Heart Disease of Native Coronary Artery and Atrial Fibrillation. Observation of Patient #5 on 4/12/2023 at 9:40 AM, in the patient's home, revealed a prescription bottle containing Eliquis (anticoagulant medication used to treat or prevent blood clots) 5 mg (milligrams) 1/2 tablet twice a day. Further review revealed the date of the prescription was 3/15/2023. Medical record review of the medication profile provided to the surveyor (printed on 4/11/2023) revealed the Eliquis was not listed as a current medication. Interview with the Clinical Operation Manager on 4/13/2023 at 9:45 AM, in the conference room, revealed the medication profile had not been updated with the new medication - Eliquis.