Every finding on record at Alternate Solutions Homecare, LLC

EMERGENCY PREPAREDNESS SURVEY At the time of the emergency preparedness survey completed on 02/11/2025, Genacross at Home is in compliance with the provisions of 42 CFR Part484.102 Conditions of Participation for Home Health Agencies.

Partial Extended Recertification Survey The following deficiency is based on the partial extended recertification survey completed on 02/12/25. Genacross at Home, 368280, is not in compliance with the requirements found at 42 CFR Part 484, Subpart B and C, Home Health Agencies.

Onsite supervisory visit every 14 days CFR(s): 484.80(h)(1)(i) (1)(i) If home health aide services are provided to a patient who is receiving skilled nursing, physical or occupational therapy, or speech language pathology services— (A) A registered nurse or other appropriate skilled professional who is familiar with the patient, the patient's plan of care, and the written patient care instructions described in paragraph (g) of this section, must complete a supervisory assessment of the aide services being provided no less frequently than every 14 days; and (B) The home health aide does not need to be present during the supervisory assessment described in paragraph (h)(1)(i)(A) of this section. This ELEMENT is not met as evidenced by: Based on medical record review, policy review, and staff interview, the facility failed to complete a home health aide supervisory visit with an appropriate skilled professional every fourteen days as required. This affected Patient #5 with the potential to affect all patients receiving skilled and home health aide services. The medical record revealed Patient #5 had a start of care (SOC) date of 01/10/25 with a primary diagnosis of nondisplaced fracture of the sixth cervical vertebrae. Physician orders were received to have physical therapy (PT) evaluate and treat, occupational therapy (OT), and a home health aide (HHA) one time per week to assist with personal care for activities of daily living (ADL) and light housekeeping. The start of care (SOC) and Aide care plan was completed on 01/10/25 by a physical therapist. A supervisory visit was completed on 01/21/25 by a physical therapy assistant (PTA). Interview with Staff B on 02/12/25 at 10:00 AM revealed staff have stated the electronic record will not let them get past this point when the supervisory visit is due. Review of the policy titled "Home Health Aide Supervision," revised 02/2024, states if home health aide (HHA) services are provided to a patient who is receiving skilled nursing, PT, OT or speech-language pathology services a registered nurse or other appropriate skilled professional who is familiar with the patient, the patients plan of care and the written patient care instructions must make an onsite visit to the patients home no less frequently than every 14 days. Interview on 02/12/25 at 12:00 PM, Staff A and Staff B verified the findings of not completing a home health aide supervisory visit by an appropriate skilled professional within the required fourteen days.