Based on the findings of an onsite unannounced home health agency Medicare recertification survey conducted 3/22/2022-3/24/2022, Community Home Heath Care, was found to be in compliance with the requirements of 42 CFR, Part 484.22, Subpart B, Conditions of Participation: Home Health Agencies - Emergency Preparedness.
Every finding on record at Community Home Health Care, Inc.
Chambersburg, Pennsylvania · CCN 398068
3 findings across 1 survey, in the inspector's own words.
The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.
Survey of March 24, 2022
3 findingsBased on the findings of an unannounced onsite home health agency Medicare recertification survey conducted 3/22/2022-3/24/2022, Community Home Health Care, was found to be not in compliance with the requirements of 42 CFR, Part 484, Subparts B and C, Conditions of Participation: Home Health Agencies.
Plan of care CFR(s): 484.60(a)(1) Each patient must receive the home health services that are written in an individualized plan of care that identifies patient-specific measurable outcomes and goals, and which is established, periodically reviewed, and signed by a doctor of medicine, osteopathy, or podiatry acting within the scope of his or her state license, certification, or registration. If a physician or allowed practitioner refers a patient under a plan of care that cannot be completed until after an evaluation visit, the physician or allowed practitioner is consulted to approve additions or modifications to the original plan. This STANDARD is not met as evidenced by: Based upon review of agency policy, medical records (MR), and interview with owner (EMP # 1), agency failed to obtain physician signature within thirty (30) days for two (2) of seventeen (17) files reviewed. ( MR # 5; MR # 15). Findings included: Review of agency policy on 3/24/2022 at approximately 1:00 PM titled " Plan of Care" stated " The attending physician must sign the patient's plan of care within 30 calendar days." Review of Medical records (MR) on 3/23/2022 between approximately 12:30 PM- 1:15 PM; 1:45 PM- 3:15 PM and 3/24/2022 between 9:00 AM-12:00 PM revealed: MR # 5, Start of Care (SOC) 10/13/2021; physician orders 2/10/2022-4/10/2022 were received signed by physician on 3/23/2022 (forty-two (42) days total). MR # 15, SOC 2/10/2022; physician orders 2/10/2022-4/10/2022 were not returned signed by physician. Interview with EMP # 1 on 3/25/2022 at approximately 1:00 PM confirmed above findings.
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