Every finding on record at Cimarron Home Care LLC

A re-certification survey was completed on 8/25/21. One deficiency was cited.

Conformance with physician orders CFR(s): 484.60(b) Standard: Conformance with physician or allowed practitioner orders. This STANDARD is not met as evidenced by: Based on interview and record review the agency failed to ensure services and treatments were provided in accordance with physician's orders for 1 of 1 patient records receiving Home Health Aide (HHA) services (Patient #2). Findings include: 1. The clinical record for Patient #2 was reviewed on 8/23/21. The plan of care for the certification period dated 6/22/21 to 8/20/21, revealed a start of care date of 2/22/21; diagnosis included type 2 diabetes mellitus with diabetic polyneuropathy, hypertension secondary to endocrine disorders, hyperlipidemia, pain unspecified and history of diabetic foot ulcer. Plan of care orders included Skilled Nursing (SN) visits two times a week with two additional as needed (PRN) visits and Home Health Aide (HHA) four times a week. a) The agency failed to ensure care and services were provided as ordered by the physician. Clinical record review revealed orders for HHA four times a week to begin on 6/22/21. Record review revealed no evidence HHA services were provided. There was no order to discontinue or hold HHA services. There was no documentation Patient #2 refused HHA services. During an interview on 8/24/21 at approximately 8:30 a.m., the Administrator stated HHA services were provided by another agency. The Administrator acknowledged there was no documentation in the clinical record HHA services were conducted by another agency. During an interview on 8/25/21 at approximately 9:00 a.m. the Administrator stated going forward if services are provided by another agency, the type of service and agency name providing the service would be documented in the clinical record.