Every finding on record at Allegiance Home Health Agency Inc

This visit was for a Federal Recertification and State Licensure Survey of a Medicaid Home Health Provider conducted by the Indiana Department of Health. Survey dates: 10/30/2023, 10/31/2023, 11/01/2023, and 11/02/2023. The survey was extended to 11/03/2023 due to receiving information for the survey. Facility ID: 016259 Provider #: 15K188 Medicaid #: 300052220 12-Month Unduplicated Skilled Admissions: 146 This deficiency report reflects State Findings cited in accordance with 410 IAC. Refer to State Form for additional deficiencies. QR completed by Area 3 on 11-08-2023.

Classroom and supervised practical training CFR(s): 484.80(b)(1) Home health aide training must include classroom and supervised practical training in a practicum laboratory or other setting in which the trainee demonstrates knowledge while providing services to an individual under the direct supervision of a registered nurse, or a licensed practical nurse who is under the supervision of a registered nurse. Classroom and supervised practical training must total at least 75 hours. This ELEMENT is not met as evidenced by: Based on record review and interview, the agency failed to ensure the classroom and supervised practical training totaled at least 75 hours in 2 of 3 home health aide record reviews. (HHA 1 and Persons 1 and 2) Findings include: A review of an undated policy titled 'Employee Qualifications' provided by the administrator on 11/02/2023 at 11 AM, revealed, " … Home Health Aides ...2. Must have successfully completed a HHA competency evaluation training program which conforms to state requirements ...". On 11/02/2023 a review of Person 1 record who had been a HHA (home health aide) and ATTC (attendant care) to Patient #3 evidenced a hire date of 01/13/2023, first patient contact date of 01/16/2023, with orientation completed on 01/13/2023, HHA test competency and skill competency completed on 01/16/2023, with their HHA certificate issued on 01/24/2023. On 11/01/2023 a review of HHA 1 record evidenced a hire date of 05/26/2023, a first patient contact date of 06/01/2023, with orientation completed on 5/26/2023, HHA test competency and skill competency completed on 05/26/2023, with their HHA certificate issued on 06/01/2023. On 11/02/2023 at 10:40 AM during an interview with the DON (director of nursing) indicated they don't train anyone to become a HHA, we do competencies on everyone, indicated they do orientation and all competencies in 1 day and it's the same for everyone. When queried if someone is not a HHA upon hire, the DON indicated when they are hired, they do competency testing on them, then submit it to the state, and they get their HHA certificate, this is completed in 1 day unless there more than 1 new hire, then it might take a couple of days. During an interview on 11/03/2023 at 5:45 AM with Person 2 indicated they did not have home health aide experience when applied at the agency, but was pleased with the DON since they were able to get them certified as a HHA. When queried about the certification process, they indicated they received orientation and all the HHA training in 1 day, however on the first day on the job, they indicated the DON came into the home and instructed them on the use of a hoyer lift, and further indicated they had learned from a family member in 1 week on how to care for the patient.

Responsible for the management of the HHA CFR(s): 484.100(a)(3) The name and business address of the corporation, association, or other company that is responsible for the management of the HHA, and the names and addresses of the chief executive officer and the chairperson of the board of directors of that corporation, association, or other company responsible for the management of the HHA. This ELEMENT is not met as evidenced by: Based on observation and interview the agency failed to ensure the Indiana Department of Health had been notified of a change of address, in 1 of 1 home health agency surveyed. Findings include: On 10-30-2023 at 8:55 AM upon arrival to agency a note appeared on the door of the home health office indicating they had moved to 5150 East Stop 11 Road, Indianapolis. On 10-30-2023 at 11:02 AM the Administrator indicated the agency had recently sent in paperwork the Department of Health to renew their license and believed he may have included a notification the agency had changed their address and indicated would check for information on the matter. On 11-02-2023 at 11:30 AM the Administrator indicated he had sent a packet to the Department of Health approximately one month ago for the licensure renewal and possibly had updated the address, but had retained no copies of same. On 11-03-2023 at 8:28 AM and 8:57 AM received information from the Department of Health indicating there had not been communication or documentation from the agency regarding a change in address. 410 IAC 17-10-1(d)(1)(3)