Every finding on record at Alternative Medical Healthcare Services Corp

A Complaint Survey for complaint #2021009988 was conducted on August 17, 2021 at Alternative Medical Healthcare Services. The Home Health Agency was not compliance with 42 CFR 484 Subpart A-C requirements for Home Health Agencies.

Coordinate care delivery CFR(s): 484.60(d)(4) Coordinate care delivery to meet the patient's needs, and involve the patient, representative (if any), and caregiver(s), as appropriate, in the coordination of care activities. This ELEMENT is not met as evidenced by: Based on record review and interview, the provider failed to coordinate care delivery to meet the patient's needs for 1 out of 4 Sampled Patients (SP). SP#4 Findings include: Clinical record review conducted on 08/17/21 of active patient revealed that SP#2 has 24 hours Skilled Nursing service ordered. Review of the service date(s) 05/30/21 to present, revealed no service notes for date(s) 06/20/21 (7p-7a), 6/21/21 (7p-7a), 6/27/21 (7a-7p), 7/04/21 (7p-7a), 7/07/21 (7p-7a), 7/11/21 (7p-7a), 7/20/21 (11p-7a), 7/21/21 (7p-7a), 7/22/21 (7p-7a), 7/23/21 (7p-7a), and 7/25/21 to 8/08/21(all 7p-7a shift). Interview conducted with the Office Manager on 08/17/21 at 3:02 pm confirmed that scheduled service dates from 06/20/21 to 07/27/21 as stated above are missed visits. The Office Manager stated that the scheduled Licensed Practical Nurse (Staff A) would notify on the same day of shift that she/he could not make it, sometimes just before the shift and adding "we would try to find staff coverage but its hard when we are already short in staff". The Office Manager confirmed that the last visit made by the assigned Staff A was on 07/27/21 for 7p-7a shift but that Staff A has not submitted the note. The Office Manager added that due to the constant call outs, they are no longer working with the Staff A.

Preparing clinical notes CFR(s): 484.75(b)(6) Preparing clinical notes; This ELEMENT is not met as evidenced by: Based on record review and interview, the home health agency staff failed to prepare and record clinical notes for 2 out of 4 Sampled Patients (SP). SP#3 and SP#4 Findings include: Clinical record review conducted on 08/17/21 of active patient revealed that SP#3 has 24 hours Skilled Nurse ordered. Review of the service dates 06/20/21 to present, revealed no service notes for dates 7/24/21 (7p-7a), 7/29/21 (7p-7a), and 08/02/21 (7p-7a). The Office Manager on 08/17/21 at 2:57 pm stated that Licensed Practical Nurse (Staff C) has not brought in the service notes for visit date(s) 7/24/21 7p-7a, 7/29 7p-7a, and 8/2/10 7p-7a. Clinical record review conducted on 08/17/21 of active patient revealed that SP#4 has 24 hours Skilled Nursing service ordered. Review of the service date(s) 05/30/21 to present, revealed no service notes for date(s) 06/20/21 (7p-7a), 6/21/21 (7p-7a), 6/27/21 (7a-7p), 7/04/21 (7p-7a), 7/07/21 (7p-7a), 7/11/21 (7p-7a), 7/20/21 (11p-7a), 7/21/21 (7p-7a), 7/22/21 (7p-7a), 7/23/21 (7p-7a), and 7/25/21 to 8/08/21(all 7p-7a shift). Interview conducted with the Office Manager on 08/17/21 at 3:02 pm confirmed that scheduled service dates from 06/20/21 to 07/27/21 as stated above are missed visits. The Office Manager then stated that the scheduled Licensed Practical Nurse (Staff B) has not submitted the visit notes for visit date(s) made from 07/28/21 to 8/08/21 (all 7p-7am shift) due to going out of town for a family emergency. The Office Manager confirmed that Licensed Practical Nurse (Staff A) made the visit date for 7/27/21 (7p-7a) but has not submitted note.