Every finding on record at Avein Group Inc

A Recertification and Re Licensure survey entrance conference was conducted on 9/11/2024 at 10:30 a.m. with the Agency Administrator. Census Licensed and Certified: 14 Personal Assistance Services: 0 An exit conference was conducted on 9/13/2024 at 1:20 p.m. with the Agency Administrator. The preliminary findings were discussed. The agency was in substantial compliance with 42 CFR Part 484.102, Emergency Preparedness Requirements for Home Health Agencies.

A Recertification and Re Licensure survey entrance conference was conducted on 9/11/2024 at 10:30 a.m. with the Agency Administrator. Census Licensed and Certified: 14 Personal Assistance Services: 0 EMR: Electronic Medical Records HHA: Home Health Aide Rvd: Revised An exit conference was conducted on 9/13/2024 at 1:20 p.m. with the Agency Administrator. The preliminary findings were discussed. The agency was afforded the opportunity to provide additional information. Written instructions were provided for submitting a plan of correction within 10 days of the receipt of the Statement of Deficiencies.

Visit schedule CFR(s): 484.60(e)(1) Visit schedule, including frequency of visits by HHA personnel and personnel acting on behalf of the HHA. This ELEMENT is not met as evidenced by: Based on record reviews and interviews the agency failed to ensure that patients were provided with a visit schedule in 2 of 3 home visits conducted. Citing Patient # 1 and Patient # 4. This failure could prevent the patient and personnel from being aware of the patient's schedule and could cause scheduling conflicts and missed visits leading to poor patient outcomes. Findings: Patient # 1 Review of the EMR for Patient #1 revealed a plan of care with a certification period of 8/13/2024 - 10/11/2024.. Further review of the plan of care revealed orders for the Skilled Nurse to visit 1 time a week for 9 weeks and for the HHA to visit 2 times a week for 9 weeks. A home visit was conducted with Patient #1 on 9/13/2024. During the visit, the surveyor reviewed Patient #1's admission packet. There was no dated or filled out visit schedule in the admission packet and there was no dated or filled out visit schedule anywhere in the patient's immediate surroundings. An interview was conducted with Patient #1 on 9/13/2024 at approximately 10:40 a.m. The surveyor inquired if the agency ever filled out a visit schedule. Patient #1 stated "No." The surveyor inquired how Patient #1 knows when agency staff is going to visit. Patient #1 stated "... I know every Tuesday she's coming...The aide comes on Tuesday...Sometimes she'll call and come on Thursday..." Patient #4 Review of the EMR for Patient #4 revealed a plan of care with a certification period of 7/2/2024 - 8/30/2024. Further review of the plan of care revealed orders for the Skilled Nurse to visit 1 time a week for 9 weeks and for the HHA to visit 1 time a week for 8 weeks. A home visit was conducted with Patient # 4 on 9/13/2024. During the visit, the surveyor reviewed Patient #4's admission packet. There was no dated or filled out visit schedule in the admission packet and there was no dated or filled out visit schedule anywhere in the patient's immediate surroundings. An interview was conducted with Patient #4 on 9/13/2024 at approximately 12:30 p.m. The surveyor inquired if the agency ever filled out a visit schedule. Patient #4 stated "no." The surveyor inquired how Patient #4 knows when agency staff is going to visit. Patient #4 stated "...I know they come every Monday..." An interview was conducted with the agency Administrator on 9/13/2024 at approximately 1:20 p.m. The surveyor inquired as to why there were no filled out schedules in the homes of Patient #1 and Patient #4. The Administrator stated "...Because I always tell them and I want to be consistent. I always tell them when I will be there..." The surveyor inquired as to whose responsibility it was to make sure the visit schedules are filled out and placed in the client's home. The Administrator stated "...Me..." Review of the agency policy titled "Implementing Care and Treatment TX.7 Page 2 of 3 Rvd. 011318..." read, in part, "...VI Written information to the patient/client. A. The Agency must provide the patient/client and caregiver with a copy of written instructions outlining: 1. Visit schedule, including frequency of visits by Agency personnel and personnel acting on behalf of the Agency..."