Every finding on record at Bcbu Inc Dba/Rocky Mountain Home Care-Green River

A recertification survey, and a COVID-19 focused infection control survey, which included a review of emergency preparedness requirements, was conducted by Healthcare Licensing and Surveys from 10/25/21 to 10/28/2021. The following common abbreviations are used throughout this document: HHA: Home Health Aide POC: Plan of Care RN: Registered Nurse PT: Physical Therapist PTA: Physical Therapist Assistant Less commonly used abbreviations will be annotated in each deficiency.

Receive all services in plan of care CFR(s): 484.50(c)(5) Receive all services outlined in the plan of care. This ELEMENT is not met as evidenced by: Based on observation, medical record review and staff interview, the agency failed to provide services according to the POC for 2 of 4 sample patients (#4, #7) reviewed for RN supervisory visits of the HHA. The findings were: 1. Observation of HHA #1 10/27/21 at 9:30 AM showed patient #4 received HHA services from the agency. Review of the medical record showed HHA services were ordered 3 times a week for certification period 9/3/21 to 11/1/21.Review of the patient's POC showed a nursing intervention to "supervise HHA q [every] 14 days". Further review of the medical record showed an RN performed 3 supervisory visits during the certification period; The first two were 9/3/21 and 9/29/21. This was a span of greater than 14 days. The last supervisory visit was conducted on 10/11/21. As of 10/27/21, no additional supervisory visits were made on the HHA. Interview with the administrator on 10/27/21 at 1:15 PM confirmed no additional supervisory visits were made between the dates of 9/3/21 to 10/27/21. 2. Review of the medical record for patient #7 showed HHA services were ordered 2-3 times a week for certification period 9/30/21 to 11/28/21. Review of the patient's POC showed a nurse intervention to "supervise HHA q 14 days". HHA services began 10/4/21 and the RN performed 1 supervisory on 10/21/21. This was a span greater than 14 days. Interview with the administrator on the10/27/21 at 1:15 PM confirmed no additional supervisory visits were made between the dates of 10/4/21 and 10/27/21.