Every finding on record at Careplus Health Services Inc

A recertification survey was initiated on 12/12/2022. The census was: LCHH-93 LHH-0 Total agency census: 93 The agency was in compliance with 42 CFR part 484.102, Emergency Preparedness Requirements for Home Health Agencies. This was updated to 42 CFR Part 484.102

A recertification survey was initiated on 12/12/2022. The census was: LCHH-93 LHH-0 Total agency census: 93

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 review and interviews, the agency failed to provide the patient and/or caregiver with written information outlining a visit schedule including frequency of visits by home health staff in 3 (Patients #2, #7 and #11) of 3 patients' home folders reviewed during home visits. This failure placed the patients at risk of missed visits by staff when visits were not scheduled and conflicted with other appointments and the availability of the patients. Findings included: Patient #2: Record review contained a plan of care for the period of 9/24/2022 through 11/22/2022 with a start of care of 1/27/2022. The frequency for the skilled nurse was ordered 1 time a week for 8 weeks, physical therapy 1 time a week for 1 week, and home health aide 2 times a week for 8 weeks, 1 time a week for 1 week. During a home visit with Patient #2 on 12/20/2022 at 9:00 am, no documentation was found in the agency home folder provided to Patient #2 of written information outlining a visit schedule including frequency of visits to be made by the skilled nurse, home health aide or physical therapy. The surveyor asked if anything had been removed from the folder. Patient #2 said “No.” The surveyor asked if Patient #2 had been provided with a written schedule of visits to be made by the skilled nurse, home health aide and physical therapy. Patient #2 said, "No." Patient #7: Record review contained a plan of care for the period of 10/13/2022 through 12/11/2022 with a start of care of 10/13/2022. The frequency for the skilled nurse was ordered 1 time a week for 9 weeks and physical therapy 1 time a week for 1 week, 2 times a week for 7 weeks. During a home visit with Patient #7 on 12/20/2022 at 11:00 am, no documentation was found in the agency home folder provided to Patient #7 of written information outlining a visit schedule including frequency of visits to be made by the skilled nurse, home health aide or physical therapy. The surveyor asked if anything had been removed from the folder. Patient #7 said “No.” The surveyor asked if Patient #7 had been provided with a written schedule of visits to be made by the skilled nurse, home health aide and physical therapy. Patient #7 said, "No." Patient #11: Record review contained a plan of care for the period of 11/19/2022 through 1/17/2023 with a start of care of 1/28/2021. The frequency for the skilled nurse was ordered 1 time a week for 9 weeks and 1 time a week for 1 week. During a home visit with Patient #11 on 12/20/2022 at 10:15:00 am, no documentation was found in the agency home folder provided to Patient #11 of written information outlining a visit schedule including frequency of visits to be made by the skilled nurse, home health aide or physical therapy. The surveyor asked if anything had been removed from the folder. Patient #11 said “No.” The surveyor asked if Patient #11 had been provided with a written schedule of visits to be made by the skilled nurse, home health aide and physical therapy. Patient #11 said, "No." An interview was conducted on 12/20/2022 at 1:30 p.m. with the Administrator, Alternate Administrator and Clinical Manager. The Surveyor reviewed the home visit findings, in that Patient’s # 2, #7, and #11 was not provided with a written visit schedule. The surveyor asked why a written schedule of visits was not provided to the patients. The Administrator said, “I don’t really have an answer for that. The agency did not dispute the findings.