Every finding on record at At Home Health Care

The Emergency Preparedness requirements were evaluated, in conjunction with the recertification survey, on 09/22/2023. The Agency was in compliance with the Condition, 42 CFR 484.22, Establishment of the Emergency Program for this survey.

A recertification survey was conducted in conjunction with the evaluation of Emergency Preparedness requirements on 09/22/2023. The Agency was not in compliance with Standards for Home Health Agencies, 42 CFR 484, as evidenced by: Abbreviations: E - employee Pt - patient MD - medical doctor HHA - Home Health Agency PT - Physical Therapy

Conformance with physician orders CFR(s): 484.60(b) Standard: Conformance with physician or allowed practitioner orders. This STANDARD is not met as evidenced by: Based on document review and interview, it was determined for 2 of 17 (Pt #9 and #17) patients, the Agency failed to ensure the physician was notified of missed PT (Physical Therapist) visits ordered which altered the care plan. Findings include: 1, The policy titled "Patient Visits- Scheduling (revised: 05/16/2021)" was reviewed on 09/21/23. The policy noted "...Procedure:...The physician/ provider is contacted whenever changes to the...frequency of patient visits are required based on patient needs..." 2. Pt #9 Start of Care 7/24/23 Diagnosis: Hypertensive Heart with Heart Failure. Pt#9s record was reviewed on 9/21/23. The Plan of Care (POC) dated 7/25/23 noted MD will be notified in the event patient refuses visit. A physician order dated 08/18/23, noted Physical Therapy visits to be 3 times a week. The record noted missed PT visits dated 8/22, 8/30, 9/1 and 9/5 for patient refused. The record lacked notification to the physician for the missed visit 3. Pt #17 Start of Care 3/6/23 Diagnosis: Gastrointestinal Hemorrhage. Pt#17s record was reviewed on 9/21/23. The Plan of Care (POC) dated 3/6/23 noted MD (medical doctor) will be notified in the event patient refuses visit. The POC noted Physical Therapy visits to be 3 times a week. The record noted missed PT visit dated 3/10, 3/11 and 3/21/23 for patient refused. The record lacked notification to the physician for the missed visit. 4. During an interview on 9/21/23 and 9/22/23 with E#1 (Agency Supervisor) and E#2 (Director), it was verbally confirmed the missed visit notes for patient refusal.