Every finding on record at Ct Hospice Inc The

Unannounced visits were concluded at CT Hospice Home Health Agency on 4/12/2022 for the purpose of reviewing the Emergency Preparedness Code of Federal Regulations at §484.102, Condition of Participation for Home Health Agencies (HHA). The agency was in compliance with the regulatory requirements at the time of the survey.

Unannounced visits were concluded at CT Hospice home health agency on 4/12/2022 for the purpose of re-certification, re-licensure and a COVID-19 vaccination verification survey The agency was in compliance with staff vaccination regulatory requirements at the time of the survey. Standard-level deficiencies were identified.

Services by skilled professionals CFR(s): 484.75(a) Standard: Provision of services by skilled professionals. Skilled professional services are authorized, delivered, and supervised only by health care professionals who meet the appropriate qualifications specified under §484.115 and who practice according to the HHA's policies and procedures. This STANDARD is not met as evidenced by: Based on clinical record review, interviews, and review of the agency policy for one of two patients (Patient #1) who required skilled nursing services for wound care, the agency failed to ensure weekly wound measurements were obtained and documented in accordance with the agency policy, and further identified for one of two patients (Patient#6) who required home health aide services, the home health agency failed to ensure supervision of the home health aides (HHA) was completed and documented per agency policy. The findings include. Patient #1 had a start of care date of 6/15/2021 and diagnoses that included parkinson's disease, meniere’s disease, sacroiliitis, insomnia and anxiety. The physician's orders dated 12/12/2021 - 2/9/2022 included nursing services 1-3 times a week for general assessments and identified in the summary patient #1's coccyx was reddened at times. Interview and review of the nursing notes from 12/12/21- 2//9/22 with the Supervisor of Clinical services (SCS) on 4/11/22 at 12:30 PM identified on 1/19/22 client #1 developed an open area on right buttock and also identified wound measurements were not obtained. Further review of the clinical notes identified on 1/27/22 the wound had deteriorated and was identified as a pressure injury stage 2 and measured at 1 inch x 0.5inch. Further review of the clinical notes with the SCS identified weekly wound measurements were not obtained for weekly visit for the weeks of 2/3/22, and 2/9/22. Agency policy for Wound Care directed the measurement of wounds weekly. Patient#6 had a start of care date of 3/2/21 and diagnoses that included Alzheimer's disease and epilepsy. The physician's orders for the certification period of 3/2/21 through 4/30/21 included nursing services one to three times a week for nine weeks for general assessment, and home health aide services three to five times a week for nine weeks for assistance with the activities of daily living. Interview and review of Pt#6's clinical record with the Supervisor of Clinical Services (SCS) on 4/12/22 at 2:00 pm failed to identify nursing supervision of home health aides during this period. Review of the agency policy directed a registered nurse must make an on-site visit to the patient's home no less frequently than every 14 days to assess the quality of care and services provided by the home health aide.