Every finding on record at Bridge Home Health Riverside, LLC

The following reflects the findings of the California Department of Public Health during an abbreviated standard survey for the investigation of one complaint: Complaint number CA00728586. Representing the California Department of Public Health: Surveyor: 37626, HFEN. The inspection was limited to the specific complaint investigated and does not represent the findings of a full inspection of the facility. Two deficiencies were issued for complaint number CA00728586.

Provide contact info other services CFR(s): 484.50(d)(5)(iii) (iii) Provide the patient and representative (if any), with contact information for other agencies or providers who may be able to provide care; and This ELEMENT is not met as evidenced by: Based on interview and record review, the agency failed to provide the patient and/or patient's representative information of other agencies or providers in the community when the patient (Patient 1) requested for a testing follow-up for Covid-19 (coronavirus- contagious respiratory infection), for one of four sampled patients. This failure had the potential for the patient and/or patient representative to not be aware of the status of Patient 1's Covid-19 infection. Findings: On March 15, 2021, at 12:40 p.m., an unannounced complaint investigation was conducted to the agency. The record of Patient 1 was reviewed. Patient 1 was admitted to the agency on February 17, 2021, with diagnoses which included Covid-19. On March 16, 2021, at 11:43 a.m., a telephone interview was conducted with the Licensed Vocational Nurse (LVN). The LVN stated she conducted home visits to Patient 1 on February 24, 2021 and March 3, 2021. The LVN stated Patient 1 requested for Covid-19 follow-up test during her home visit. The LVN stated she tried to contact Patient 1's physician on March 3, 4, and 5, 2021, about Patient 1's request for Covid-19 test follow-up and the physician had not responded. The LVN stated the agency was aware of Patient's 1 request for Covid-19 follow-up test. The following records for Patient 1 were reviewed: 1. The Skilled Nursing Visits (SNV) for Patient 1 on February 24, 2021, March 3, 2021, March 10, 2021; 2. The "Patient Communication," notes dated March 2, 2021 and March 25, 2021; and 3. "Client/Family/ Employee/Other Complaint" investigation notes dated February 18, 2021, March 2, 2021, and March 10, 2021. There was no documentation Patient 1 was provided information of agencies that may be able to perform follow-up tests and/or community and educational resources for Covid-19 as per the patient's request. The agency's policy and procedure tiled, "Educational Resources," dated April 2018, was reviewed. The policy indicated, "...The organization will select and provide educational resources for the patient, based on patient and family/caregiver educational needs...The organization will provide educational resources that include, but are not limited to...Written information provided by the community, as well as by regional and national companies and associations...Community resources...Educational methods will be based on patient's and family/caregiver's ability to comprehend information...but will not be limited to, any of the following methods of instruction...Verbal instruction, written instruction..."

Communication with physicians CFR(s): 484.75(b)(7) Communication with all physicians involved in the plan of care and other health care practitioners (as appropriate) related to the current plan of care; This ELEMENT is not met as evidenced by: Based on interview and record review, the agency failed to ensure, for one of four sampled patients, the physician was informed and/or updated of Patient 1's request for a follow-up test for Covid-19 (coronavirus- contagious respiratory infection). This failure had the potential for the physician to not be aware of the patient's health condition and/or delayed provision of treatment and interventions. Findings: On March 15, 2021, at 9:24 a.m., Patient 1 was interviewed and stated she requested the nurse to ask the doctor for a follow up test for her Covid-19 infection but no follow-up test was done. On March 15, 2021, at 12:40 p.m., an unannounced complaint investigation was conducted to the agency. The record of Patient 1 was reviewed. Patient 1 was admitted to the agency on February 17, 2021, with diagnoses which included Covid-19. The Skilled Nursing Visits (SNV) for Patient 1 on February 24, 2021, March 3, 2021, and March 10, 2021, were reviewed. There was no documentation the physician of Patient 1 was contacted about the patient's request for a follow-up Covid-19 test. On March 16, 2021, at 11:43 a.m., a telephone interview was conducted with the Licensed Vocational Nurse (LVN). The LVN stated she conducted home visits to Patient 1 on February 24, 2021 and March 3, 2021. The LVN stated Patient 1 requested for Covid-19 retesting during her home visit. The LVN stated she tried contacting Patient 1's physician on March 3, 4, and 5, 2021, about Patient 1's request for Covid-19 retest and the physician had not responded. The LVN stated the agency was aware of Patient 1's request for Covid-19 follow-up test. On April 1, 2021, at 10:28 a.m., a telephone interview was conducted with the RN. The RN stated that in addition to the patient's attempts to call the physician, the nurses should also contact the physician to regarding the request for Covid-19 follow-up testing. The agency's policy and procedure titled, "MONITORING PATIENT'S RESPONSE/REPORTING TO PHYSICIAN," dated April 2018 was reviewed. The policy indicated, "...To provide guidelines for monitoring the patient's response to care, and for reporting to the patient's physician...Clinician will establish and maintain ongoing communication with the physician to ensure safe and appropriate care for the patient...The organization shall communicate with all physicians involved in the plan of care...to assure that all patient needs are being met... When unable to contact the patient's physician for medical consultation...The nurse...will immediately notify the Clinical Manager or designee regarding the need for medical consultation and problems encountered... An attempt will be made by the Clinical Manager or designee to contact the patient's physician..."