Every finding on record at Amicita Home Health, LLC

At the time of the survey, CHSGA Home Health in Watkinsville , GA was in compliance with 42 CFR Part 484.22 Emergency Preparedness for Home Health Agencies as a result of a recertification survey conducted on February 2, 2022. A Focus Infection control survey was completed at the time of the survey. Current census 4. No deficiencies cited.

At the time of the survey, CHSGA Home Health in Watkinsville , GA was in compliance with 42 CFR Part 484, Requirements for Home Health Agencies as a result of a recertification survey conducted on February 2, 2022. A Focus Infection control survey was completed at the time of the survey. Current census 4. Following deficiencies cited:

Plan of care must include the following CFR(s): 484.60(a)(2)(i-xvi) The individualized plan of care must include the following: (i) All pertinent diagnoses; (ii) The patient's mental, psychosocial, and cognitive status; (iii) The types of services, supplies, and equipment required; (iv) The frequency and duration of visits to be made; (v) Prognosis; (vi) Rehabilitation potential; (vii) Functional limitations; (viii) Activities permitted; (ix) Nutritional requirements; (x) All medications and treatments; (xi) Safety measures to protect against injury; (xii) A description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors. (xiii) Patient and caregiver education and training to facilitate timely discharge; (xiv) Patient-specific interventions and education; measurable outcomes and goals identified by the HHA and the patient; (xv) Information related to any advanced directives; and (xvi) Any additional items the HHA or physician or allowed practitioner may choose to include. This ELEMENT is not met as evidenced by: Based on clinical record reviews and staff interviews, it was determined the agency staff failed to include orders to cover all pertinent diagnoses and ensure the patients' needs were addressed to include disease specific interventions/treatments were included on the plans of care for four of seven (#3, #5,#6,and #7) sampled patients (P). 1 Review of the plan of care/treatment for P#3 with a certification period of 1/27/22 to 3/27/22, revealed that patient has a diagnosis of myocardial infarction with implanted cardiac defibrillator, and long-term use of aspirin 81 mg (blood thinner) once daily. The plan of care lacks teaching and assessment of bleeding complications and teaching and assessment of implanted cardiac defibrillator and its complications. The agency failed to ensure that the plan of care included all pertinent interventions for the care and treatment of the patient. 2. Review of the plan of care for P#5 (closed record) with a recertification period of 2/6/21 to 4/6/21 revealed a pertinent diagnosis of arteriosclerotic heart disease, venous thrombosis and embolism, and long-term use of aspirin 81 mg (an anticoagulant/blood thinning medication used to prevent blood clots) once daily. The plan of care lacked teaching and assessment of bleeding complications. The agency failed to ensure the plan of care was complete and consistent to include the specific teaching and assessments of anticoagulation therapy and its complications. 3. Review of the plan of care/treatment for P#6 (closed record) with a certification period of 11/16/20 to 1/14/21, revealed that patient has a history of atrial fibrillation and long-term use of anticoagulant therapy and is currently taking Eliquis 5 mg (blood thinner) twice daily. The plan of care lacked teaching and assessment of bleeding complications. The agency failed to ensure the plan of care was complete and consistent to include specific teaching and assessments of anticoagulation therapy and its complications. 4. Review of the plan of treatment for patient #7 (closed record) with a certification period of 1/8/21 to 3/8/21 revealed the patient has diagnosis of bradycardia, hyperkalemia, peripheral vascular disease, and hypertension and long-term use of Aspirin 81 mg (anticoagulant ) once daily. The plan of care lacked teaching and assessment of bleeding complications. The agency failed to ensure the plan of care was complete and consistent to include specific teaching and assessments of anticoagulation therapy and its complications. During an interview on 2/2/22 at 11:30 a.m., the Vice President of home care services and the Administrator provided no evidence the plan of treatment included orders to monitor for excessive bleeding and safety precautions for the patient's anticoagulant medication.