Every finding on record at Benedictine Living Communities Inc.

A recertification survey conducted on March 23-24, 2026, found Benedictine Home Health in compliance with the requirements of 42 CFR 484.102 Home Health Agency (HHA) Emergency Preparedness.

For the standard Medicare/Medicaid recertification survey, started March 23, 2026 and completed on March 24, 2026, the sample included 4 active/closed records reviewed with no home visits and 3 records reviewed with home visits.

Plan of care CFR(s): 484.60(a)(1) Each patient must receive the home health services that are written in an individualized plan of care that identifies patient-specific measurable outcomes and goals, and which is established, periodically reviewed, and signed by a doctor of medicine, osteopathy, or podiatry acting within the scope of his or her state license, certification, or registration. If a physician or allowed practitioner refers a patient under a plan of care that cannot be completed until after an evaluation visit, the physician or allowed practitioner is consulted to approve additions or modifications to the original plan. This STANDARD is not met as evidenced by: Based on record review, policy review, and staff interview, the Home Health Agency failed to update the plan of care for 1 of 5 active patient records reviewed (Patient #4). Failure to review and revise the plan of care service schedule limited the physician/practitioner's ability to approve additions or modifications to the original plan. Findings include: Review of the agency's policy titled "Plan of Care - CMS [Centers for Medicare & Medicaid Services] #485 and Physician Orders" occurred on 03/24/26. This policy, dated October 2017, stated, "Policy: Skilled nursing and other home health services will be in accordance with a Plan of Care . . . Procedure: . . . The individualized plan of care must include the following: . . . The frequency and duration of visits to be made . . . Consultation with the physician on any modification in the Plan of Care will be documented and the physician’s signature obtained . . . Physician orders may authorize a specific range in the frequency of visits for each service (e.g., 2-4 visits per week) to ensure that the most appropriate level of service is provided to the patient. . . . The Agency alerts the physician to any changes that suggests a need to alter the plan of care. . . ." Review of Patient #4’s medical record occurred on March 23-24, 2026. The Certification and Plan of Care form, dated 01/02/26 to 03/02/26, identified the frequency and duration for the home health aide visits as one to two times a week. The recertification form, dated 03/03/26 to 05/01/26, also identified the frequency and duration for the home health aide as one to two times a week. Review of the aides documented visits showed Patient #4 received aide visits three times weekly beginning the week of 02/01/26. The agency failed for seven weeks (02/01/26 to 03/23/26) to obtain physician’s orders/update the plan of care to approve the addition/modification of increase in visits to three times a week for the home health aide. During an interview on 03/24/26 at 4:00 p.m., an administrative nurse (#1) confirmed the agency failed to update the plan of care to alert the physician to the increased frequency of the aide visits for Patient #4.