Every finding on record at Cincinnati Home Care, Inc

EMERGENCY PREPAREDNESS SURVEY At the time of the emergency preparedness survey completed on 02/06/25, Cincinnati Home Care Inc is in compliance with the provisions of 42 CFR Part 484.102, Conditions of Participation for Home Health Agencies.

Partial Extended Recertification Survey/ Substantial Allegation Number 96132 The following deficiencies are based on the partial extended recertification survey completed on 02/06/25. No deficiencies were issued in regards to the allegations contained in Substantial Allegation Number 96132 investigated concurrently. Cincinnati Home Care, 368188, is not in compliance with the requirements found at 42 CFR Part 484, Subpart B, C, for Home Health Agencies.

Promptly alert relevant physician of changes CFR(s): 484.60(c)(1) The HHA must promptly alert the relevant physician(s) or allowed practitioner(s) to any changes in the patient's condition or needs that suggest that outcomes are not being achieved and/or that the plan of care should be altered. This ELEMENT is not met as evidenced by: Based on medical record review, observations, policy review, and staff interview, the facility failed to ensure staff followed a physician’s order to report safety hazards and failed to report any changes in the patient’s condition to a physician. This affected Patient #3. The agency census was 30. Review of the medical record for Patient #3 revealed an admission for non-skilled services on 11/24/24. Diagnoses included end stage renal disease, chronic obstructive pulmonary disease, and diabetes mellitus. The certification periods of 11/24/24 to 01/22/25 and 01/23/25 to 03/23/25 were reviewed. Review of the plans of care for both certification periods revealed the physician ordered services of a home health aide four hours per day, four days per week, for a total of 16 hours a week. The plan of care also revealed the physician ordered supervisory and reassessments every 60 days by a skilled nurse. Both plans of care revealed a physician order for the home health aide to maintain a safe environment by ensuring clear walkways, removing clutter, and informing a supervisor of safety hazards. The home health aide and the skilled nurse were both ordered to be alert for changes of condition and safety and to report all changes to appropriate staff. A nurse’s home safety assessment, dated 11/24/24, recommended that the house would be safer if decluttered. A Registered Nurse’s communication note, dated 01/20/25, stated she met with the patient for a recertification and the patient reported having fallen and broken her ankle while attempting to walk in the house without her walker. The note further stated there were two visible stitches, serosanguineous fluid, and potentially pus drainage coming from the ankle wound. The medical record lacked documentation a physician was notified. The record contained no evidence the physician was notified of the patient's ankle wound having drainage or of the hazardous cluttered home environment. Observations on 02/05/25 during a home visit of Patient #3 revealed the living room, dining room, and kitchen were visibly cluttered. Review of the facility policy titled "Reporting Significant Occurrences," revealed staff members are instructed to report any changes in the patient’s condition or findings to the physician so that appropriate care plan changes are made as needed. Interview on 02/05/25 at 1:30 PM Staff A confirmed that there was no provider notification of serosanguineous fluid coming from the patient’s ankle wound and no agency notification of the safety hazard in the home of clutter.

12 hours inservice every 12 months CFR(s): 484.80(d) Standard: In-service training. A home health aide must receive at least l2 hours of in-service training during each 12-month period. In-service training may occur while an aide is furnishing care to a patient. This STANDARD is not met as evidenced by: Based on review of personnel records and staff interview, the facility failed to ensure home health aides were provided with 12 hours of in-service training in a 12 month period for one (Staff H) of three home health aidesreviewed. The agency census was 30. The personnel record of Staff H revealed a hire date of 09/08/20. Review of the in-service training requirements revealed Staff H received seven hours of in-service training. Interview on 02/06/25 at 3:00 PM Staff A confirmed Staff H did not receive 12 hours of in-service training every 12 months.