Every finding on record at Amedisys Georgia, LLC

A complaint GA#62327 survey was conducted at Central Home Health, Atlanta, Georgia, on 7/21/22. The complaint was substantiated with citations. The agency is in compliance with- Chapter 42 CFR Part 418, Rules and Requirements for Home Health and Hospice Agencies. The census was 271. The following deficiencies were cited.

Notice of rights CFR(s): 484.50(a) Standard: Notice of rights. The HHA must- This STANDARD is not met as evidenced by: Based on record review, staff and family interviews, it was determined that the agency failed to provide non-admit information to patient (P#1) one (1) of three (3) sampled patients. The Findings include: On 2/11/22 the agency received a referral to admit P#1, to agency for physical therapy and occupation therapy services. P#1’s family did not receive any phone call from the agency. On 3/4/22 at 2:04 p.m., P#1 called the agency and spoke with the previous Administrator, who promised to send an agency staff to conduct the initial assessment; but he failed to send the agency staff to admit P#1; he also failed to call P#1 back. P#1 did not receive any call from the agency staff to explain the reason for non-admit. On 7/20/22 at 12:57 p.m., an interview was conducted with P#1, who stated that he did not want to continue with the compliant he wants to let it go. P#1 denies pain and want to let it go. On 7/20/22 at 1:24 p.m., an interview was conducted with the scheduler, who stated that she was not familiar with P#1. On 7/20/22 at 1:30 p.m., an interview was conducted with the intake coordinator, who stated that she could not recollect any information about P#1.

Within 48 hours of the patient's return CFR(s): 484.55(d)(2) Within 48 hours of the patient's return to the home from a hospital admission of 24 hours or more for any reason other than diagnostic tests, or on physician or allowed practitioner - ordered resumption date; This ELEMENT is not met as evidenced by: Based on record review, staff and family interviews, the agency failed to inform Patient (P#1), family and the Physician non-admit information within 48 hours when a referral was declined one (1) of three (3) sampled patients. The Findings include: On 2/11/22, the agency received a referral to admit P#1, to provide care for physical therapy and occupation therapy. The patient was diagnosed with Spinal stenosis. According to P#1, the agency previous Administrator did not contact P#1 for one week. On 3/4/22 at 2:04 p.m., P#1 called the agency and spoke with the previous Administrator, who promised to send an agency staff to conduct the initial assessment prior to admitting the patient, but failed to send the agency staff to admit P#1; he also failed to call P#1 back. P#1 did not receive any call from the agency staff to explain the reason for non-admittance. On 7/20/22 at 1:21p.m., an interview was conducted with the previous Administrator, who stated that he could not recollect the patient or the non-admit incident. The previous Administrator resigned from the agency.

Only as ordered by a physician CFR(s): 484.60(b)(1) Drugs, services, and treatments are administered only as ordered by a physician or allowed practitioner. This ELEMENT is not met as evidenced by: Based on record review and staff interview, it was determined that the agency failed to obtain physician orders not to admit P#1 one (1) of three (3) sampled patients. The Findings include: Review of P#1’s record revealed that the agency received referral on 2/11/22 to admit P#1 for physical therapy, Occupation therapy, the agency did not admit the patient and failed to obtain physician order not to admit P#1. During an interview on 7/20/22, at 2:30 p.m., the current Administrator confirmed that the agency did not have physician’s order not to admit P#1.