Every finding on record at Amedisys Louisiana, LLC

Amedisys Home Health is in compliance with federal emergency preparedness requirements.

Recertification Survey

Plan of care CFR(s): 484.60(a)(1) Each patient must receive the home health services that are written in an individualized plan of care that identifies patient-specific measurable outcomes and goals, and which is established, periodically reviewed, and signed by a doctor of medicine, osteopathy, or podiatry acting within the scope of his or her state license, certification, or registration. If a physician or allowed practitioner refers a patient under a plan of care that cannot be completed until after an evaluation visit, the physician or allowed practitioner is consulted to approve additions or modifications to the original plan. This STANDARD is not met as evidenced by: Based on record review and interview, the agency failed to ensure the patient's written individualized POC (plan of care) was followed as evidenced by the SN (skilled nurse) failing to report a weight gain of 11 pounds within 2 days as ordered per the POC for patient (#2) for 1 out of 10 sampled patients. Patient #2. Review of the patient’s electronic clinical records revealed the start of care date was 7/26/2023. The patient’s diagnosis included Hypertensive Heart Disease with Heart Failure. The certification period reviewed was 7/26/2023 to 9/23/2023. Review of the patient’s POC (Plan of Care) for certification period 7/26/2023 to 9/23/2023 revealed an order for “SN 1wk9 (skilled nurse visit one time a week for nine weeks).” Further review of the patient’s POC revealed an order for “…Record patient reported weight or weigh patient… Report increased edema or weight gain of > 2 lbs (pounds) in 1 day or 5 lbs in 1 week or 5 lbs or more over target weight…” Review of the patient's PTA (Physical Therapy Assistant) Visit Note dated 8/7/2023 revealed that the patient’s weight was 240 pounds. Review of the patient’s SN Visit Note dated 8/9/2023 revealed that the patient’s weight was 251 pounds, which was an 11-pound weight gain in 2 days. There was no evidence the SN notified the physician of the patient’s 11-pound weight gain per the POC orders. On 8/22/2023 at 10:40 a.m., a telephone interview was conducted with S2LPN (Licensed Practical Nurse). During the interview, S2LPN reviewed the patient's electronic clinical record and confirmed that she documented the patient weighed 251 pounds on 8/9/2023. She stated that the patient’s weight on 8/7/2023 was 240 pounds, which was an 11-pound weight gain in 2 days. S2LPN confirmed that there was no evidence that she notified S1Administrator or the physician concerning the patient’s weight gain. On 8/23/2023 at 1:40 p.m., an interview was conducted with S1Administrator. She confirmed that S2LPN should have reported the patient’s weight gain to her and confirmed that there was no evidence S2LPN documented the patient’s 11-pound weight gain.