Every finding on record at Ameri-Care Professional Service Inc

During the recertification survey conducted on 12/06/2021 to 12/09/2021 at Ameri-Care Professional Service Inc. a Home Health Agency, Emergency preparedness was reviewed. Ameri-Care Professional Service Inc is in compliance with Emergency Preparedness per Code of Federal (CFR) 42 Part 484.102, Condition of Participation for Home Health Agencies.

A recertification survey was conducted on December 06, 2021 through December 09, 2021 at Ameri-Care Professional Service Inc. The home health agency was in non-compliance with 42 CFR 484 Subpart A-C, Requirements for Home Health Agencies.

Communication with physicians CFR(s): 484.75(b)(7) Communication with all physicians involved in the plan of care and other health care practitioners (as appropriate) related to the current plan of care; This ELEMENT is not met as evidenced by: Based on record review and staff interview, the provider failed to demonstrate that communication was conducted with the ordering physician involved in the plan of care related to the current plan of care for 1 out 10 Sampled Patients (SP). SP#10 Findings include: Closed clinical record review conducted of SP#10 revealed the Plan of Care reads for Skilled Nurse to be provided once every 28 days for intravenous infusion. Review of the skilled nurse service notes for dates 09/06/21 and 10/06/21 demonstrates that visits were conducted at an interval of 30 days and not as ordered on the Plan of Care at 28 days. Interview conducted with the Director of Nursing (DON) on 12/07/21 at 12:42 pm. The DON stated that the Registered Nurse informed her that SP#10 had refused scheduled visit because SP#10 was not feeling well and therefore it was completed 2 days later as per patient’s request. The Director of Nursing reviewed the electronic record and confirmed that the Registered Nurse did not write up the notification to send to the physician.