Every finding on record at Caremate Home Health Care Inc

A survey with CMS Appendix Z Emergency Preparedness Requirements, was conducted on 1/30/24 through 2/1/24, during a recertification survey. The facility is in compliance with the Appendix Z Emergency Preparedness Requirements.

On 1/30/24 through 2/1/24, a recertification survey was conducted. This resulted in a partial extended survey at CareMate Home Health Care Inc. The agency was found to have not met the requirements at 42 CFR. Part 484 for Home Health Agencies. The cumulative effects of these findings resulted in the Home Health Agency’s inability to ensure provision of quality of care. Unduplicated census previous 12 months: 28 Total home visits conducted: 3 List Hours of Operation: 8:00 a.m. - 4:30 p.m. List total number of records reviewed: 7 In addition to the recertification, the following complaints were reviewed. As a result no deficiencies were issued for complaints: H8000023C (iQies# 31954) and H80009384C (iQies# 104206).

Plan of care must include the following CFR(s): 484.60(a)(2)(i-xvi) The individualized plan of care must include the following: (i) All pertinent diagnoses; (ii) The patient's mental, psychosocial, and cognitive status; (iii) The types of services, supplies, and equipment required; (iv) The frequency and duration of visits to be made; (v) Prognosis; (vi) Rehabilitation potential; (vii) Functional limitations; (viii) Activities permitted; (ix) Nutritional requirements; (x) All medications and treatments; (xi) Safety measures to protect against injury; (xii) A description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors. (xiii) Patient and caregiver education and training to facilitate timely discharge; (xiv) Patient-specific interventions and education; measurable outcomes and goals identified by the HHA and the patient; (xv) Information related to any advanced directives; and (xvi) Any additional items the HHA or physician or allowed practitioner may choose to include. This ELEMENT is not met as evidenced by: Based on interview and document review, the agency failed to ensure the patient plan of care included current Advanced Directives wishes for 1 of 3 patients (P2) reviewed during home visits. P2's plan of care (POC) for certification period 12/12/23 through 2/9/24, identified a diagnosis of schizophrenia and had oriented mental status. P2 received skilled nurse visits two times each month for assessment and evaluation of ability to function at home, compliance, teaching and management with medications; administer injections, vital signs including oxygen saturations and lung sounds, diet/fluid intake, safety factors and activity/rest regime. Under Advanced Directive Resuscitation "Full Code" was listed, which meant P2 wanted CPR if her heart was to stop. P2's Do Not Resuscitate (DNR) Request Form dated 6/5/23, and signed by P2, identified DNR (meaning P2 did not want CPR or medical treatment if her heart stopped beating or stopped breathing). P2's subsequent POC for the certification periods 6/15/23 through 8/13/23, 8/14/23 through 10/12/23, and 10/13/23 through 12/11/23 also identified "Full Code" resuscitation status. P2's POC was not updated with current resuscitation wishes. During an interview on 2/1/24 at 9:48 a.m., P2 was not able to be reached by phone. P2's family member (FM)-A stated P2's resuscitation wishes fluctuated based on mood related to schizophrenia. During an interview on 2/1/24 at 11:00 a.m. the director of nursing (DON) stated the DNR form should match the POC and P2's wishes would need to be clarified immediately. The agency policy titled Comprehensive Assessments dated 2023, identified the patient's Advanced Directive decisions and the POC would be updated when the comprehensive assessment was revised.