Every finding on record at Caresouth HHA Holdings of South Carolina, LLC

An onsite unannounced Emergency Preparedness Program (EPP) Survey was conducted at Enhabit Home Health Aiken from 08/21/2023 to 08/24/2023. Enhabit Home Health Aiken is in compliance with the Medicare Conditions at 42 CFR PART 484.102 (Establishment of the Emergency Program).

An onsite unannounced Recertification Survey was conducted at Enhabit Home Health Aiken from 08/21/2023 to 08/24/2023. Enhabit Home Health Aiken is in substantial compliance with the Medicare Conditions at 42 CFR PART 484.

Only as ordered by a physician CFR(s): 484.60(b)(1) Drugs, services, and treatments are administered only as ordered by a physician or allowed practitioner. This ELEMENT is not met as evidenced by: Based on observations and record reviews, the home health agency failed to update the medication profile for 5 of 7 applicable patients observed during home visits. (Patient 4, 2, ) Home visit on 08/22/2023 between 11:45 AM and 12:50 PM reveals agency medication list inaccuracy : Caregiver reports patient taking oral Vitamin C, Vitamin B, Zinc and Garlic 1000 daily, these medications are not on the agency list. Potassium Chloride ER 20 meq 1 tablet by mouth three times a week, agency list reports this medication as 3 times a day. Fexofenadrine 180 mg 1 tablet by mouth daily, this medication is not on the agency list. On 08/24/2023 at 9:40 AM, Skilled Nurse (SN) #1 verifies the findings. Home visit on 08/22/2023 between 10:40 AM and 11:35 AM reveals agency medication list inaccuracy : Facility Medication Administration Record (MAR) reports Losartan Potassium-HCTZ 100-25 mg 1 tablet by mouth daily, agency lists Losartan 100 mg 1 tablet by mouth daily; Felodipine ER 5 mg. 1 tablet by mouth daily, this medication is not on the agency list. On 08/24/2023 at 9:35 AM, SN #1 On 08/24/2023 at 9:35 AM, SN #1 verifies the finding. Home visit on 08/22/2023 between 9:35 AM and 10:25 AM reveals agency medication list inaccuracy : Caregiver reports Famotidine 20 mg 1 tablet by mouth daily, agency lists 1 tablet twice a day. Ferrous sulfate 65 mg 1 tablet by mouth daily, agency lists 300 mg (60 mg per 5 ml) oral liquid daily Pantoprazole 40 mg delayed release 1 tablet by mouth daily, agency list 1 tablet by mouth twice a day. On 08/24/2023 at 9:38 AM, SN #1 verifies the finding Observation on 8/22/23 of Patient #4's current medications along with review of the home health agency's medication list revealed the patient's medication list had not been updated to exclude the medications Vitamins C, Docusate Sodium, Famotidine, Multivitamin, and Zinc Sulfate. During an interview on 8/22/23 at 1:05 PM, the patient's wife stated those medications had been discontinued prior to the patient's hospital admission. The patient stated s/he had not taken the Famotidine in 3-4 weeks. Observation on 8/22/23 at 11:20 AM of Patient #2's medication bottles revealed the patient had been prescribed Isosorbide Dinitrate 30 mg (milligrams), one tablet twice daily. Review of the home health agency's medication list for the patient revealed only once daily dosing of the Isosorbide Dinitrate. During an interview on 8/22/23 at 11:23 AM, the patient stated s/he had always taken the medication twice daily.