Every finding on record at Covenant Home Health Care LLC

Substantial Allegation Survey Substantial Allegation OH00118312 COVID-19 focused infection control survey No deficiencies were cited related to allegations contained in substantial allegation OH00118312 completed on 01/06/21; however, the facility was found not to be in compliance with all requirements for Home Health Agency participation and the following deficiency is cited. Covenant Home Health Care LLC 368329, is not in compliance with the requirements found at 42 CFR Part 484, Subpart B, C for Home Health Agencies. A COVID-19 Focused Infection Control Survey conducted concurrently revealed the facility is in compliance with the requirements at 42 CFR Part 484.70 related to Infection Control and 42 CFR Part 484.102(b)(5) related to Emergency Preparedness.

Plan of care must include the following CFR(s): 484.60(a)(2)(i-xvi) The individualized plan of care must include the following: (i) All pertinent diagnoses; (ii) The patient's mental, psychosocial, and cognitive status; (iii) The types of services, supplies, and equipment required; (iv) The frequency and duration of visits to be made; (v) Prognosis; (vi) Rehabilitation potential; (vii) Functional limitations; (viii) Activities permitted; (ix) Nutritional requirements; (x) All medications and treatments; (xi) Safety measures to protect against injury; (xii) A description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors. (xiii) Patient and caregiver education and training to facilitate timely discharge; (xiv) Patient-specific interventions and education; measurable outcomes and goals identified by the HHA and the patient; (xv) Information related to any advanced directives; and (xvi) Any additional items the HHA or physician may choose to include. This ELEMENT is not met as evidenced by: Based on interview and medical record review, the agency failed to ensure the type of services required and the frequency and duration of visits was included on the physician ordered plan of care for one of five sample clinical records (Patient #1). This could affect all patients receiving services from the facility. The agency census was 38 patients. Findings include: The medical record review for Patient #1 was completed on 01/06/20. The patient's care began with the agency on 10/23/2020. The physician ordered plan of care for the certification period beginning 10/23/2020 revealed the patient was diagnosed with type two diabetes mellitus, hypertension, bipolar disorder, anxiety disorder, and myocardial infarction and was to receive a skilled nurse visit once every nine weeks to assess home care needs. The medical record review revealed for the weeks beginning 11/08/2020, 11/15/2020, 11/22/2020, and 11/29/2020 14 hours of home health aide services were provided. The plan of care did not include orders for home health aide services and did not state how often the home health aide was to visit or the duration of the services. On 01/05/21 at 3:11 PM in an interview, the Administrator confirmed the plan of care did not include a frequency and duration order for the home health aide.