Every finding on record at Chi - Health Connect at Home - Fargo

A recertification survey conducted on January 13-14, 2025 found CHI Health at Home - Bismarck in compliance with the requirements of 42 CFR 484.102, Home Health Agency Emergency Preparedness.

For the standard Medicare/Medicaid recertification survey, started on 01/13/25 and completed 01/14/25, the sample included six records reviewed with no home visits and four records reviewed with home visits.

Onsite supervisory visit every 14 days CFR(s): 484.80(h)(1)(i) (1)(i) If home health aide services are provided to a patient who is receiving skilled nursing, physical or occupational therapy, or speech language pathology services— (A) A registered nurse or other appropriate skilled professional who is familiar with the patient, the patient's plan of care, and the written patient care instructions described in paragraph (g) of this section, must complete a supervisory assessment of the aide services being provided no less frequently than every 14 days; and (B) The home health aide does not need to be present during the supervisory assessment described in paragraph (h)(1)(i)(A) of this section. This ELEMENT is not met as evidenced by: Based on record review, policy review, and staff interview, the Home Health Agency (HHA) failed to ensure a registered nurse (RN) performed the supervisory visit no less frequently than every 14 days for 1 of 5 sampled patients (Patient #3) receiving home health aide services for more than two weeks. Failure to complete supervisory visits at least every 14 days limited the HHA's ability to assess the adequacy of aide services in relation to the needs of the patient/family and to ensure the aides furnished the appropriate care identified in the patient's plan of care. Findings include: Review of the agency policy titled "Supervision of Paraprofessionals" occurred on 01/14/25. This policy, dated 2023, stated, ". . . If the patient receives skilled nursing care, the Registered Nurse (RN) must perform the supervisory visit. . . . the provision for aide supervision for patients receiving skilled care every 14 days . . ." Review of Patient #3's medical record occurred on January 13-14, 2025. The record identified a plan of care for home health aide services two times a week for the certification periods of 10/13/24 to 12/11/24 and 12/12/24 to 02/08/25. The record identified occurrences of supervisory visits as follows: * 11/14/24 next on 11/30/24, a 16-day interval. * 12/11/24 next on 12/27/24, a 16-day interval. During an interview on 01/14/25 at 11:45 a.m., a supervisory nurse (#1) confirmed the RN failed to complete supervisory visits for Patient #3 as required.