Every finding on record at Day Kimball Homecare

Unannounced visits were concluded at Day Kimball Health Care on 3/28/2023 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 regulations at the time of the survey.

Unannounced visits concluded on March 28,2023 for the purpose of recertification and state re-licensure. A standard-level deficiency was 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, interview with the agency personnel and review of agency policy for of one six patient's (Patient #8) who required wound care, the agency professionals failed to ensure weekly wound measurements were conducted in accordance with the agency policy. The finding includes: Patient #8 had a start of care date of 2/23/2023 and diagnoses that included pressure ulcer of the right ankle stage II, pressure induced deep tissue damage of the right heel, diabetes mellitus type 2 with polyneuropathy and diabetic neuropathic arthropathy. The physician's orders for the certification period of 2/23/2023 – 4/23/2023 included nursing services 2 times a week to assess wound and evaluate wound status including signs and symptoms of infection, healing and complications, along with weekly wound measurements on first nursing visit of the week . Review of the nursing notes from 2/23/23 - 4/23/23 with the Supervisor of Clinical Services on 3/24/2023 at 12:00pm, failed to identify weekly wound measurements for the visits occurring 3/7/23, 3/10/23, 3/13/23, 3/17/23 and 3/20/23. The agency policy for Wound Care Guidelines identifies under “Documentation Requirements” A. Characteristic documentation will be done on all wounds on admission, and with each assessment. #1. Measurements will be assessed weekly..