Every finding on record at Delcorp Home Health Services Inc

Purpose of visit: Recertification Survey and complaint investigation for 94609. Entrance date: 11/29/22 Census: L&C – 1 LHH – 0 PAS - 20 94609 - Substantiated An exit conference was conducted on 12/02/22 at 5:38 p.m. with the administrator/supervising nurse. Preliminary findings were discussed. Written instructions were provided for submitting a plan of correction within 10 days of receipt of the statement of deficiencies.

Participate in care CFR(s): 484.50(c)(4)(i,ii,iii,iv,v,vi,vii,viii) Participate in, be informed about, and consent or refuse care in advance of and during treatment, where appropriate, with respect to-- (i) Completion of all assessments; (ii) The care to be furnished, based on the comprehensive assessment; (iii) Establishing and revising the plan of care; (iv) The disciplines that will furnish the care; (v) The frequency of visits; (vi) Expected outcomes of care, including patient-identified goals, and anticipated risks and benefits; (vii) Any factors that could impact treatment effectiveness; and (viii) Any changes in the care to be furnished. This ELEMENT is not met as evidenced by: Based on interview and record review, the agency failed to inform patients in advance of the care to be furnished and the frequency of skilled nursing visits to be provided for 1 of 4 discharged patient records reviewed (#12). This failure violated the patient’s rights and could prevent patients from declining services they prefer to avoid or delay and from accepting services they want. Findings include: Patient #12 - Review of the plan of care dated 11/25/21 to 01/23/22 included a physician's order for skilled nursing visits once a week. Review of the agency's form titled, “Service Agreement/Consent for Care”, dated 02/04/20 revealed it did not indicate that skilled nursing visits were to be provided and there was no proposed frequency of visits listed on the agreement. There was no evidence that the agency notified the patient that skilled nursing visits were to be provided or the proposed frequency to be provided prior to the start of care. During an interview conducted on 12/02/22 at 4:30 p.m., when presented with the “Service Agreement/Consent for Care form that was blank and asked if there is a reason this form is blank, the administrator/supervising nurse reviewed the form and said she forgot to check the box and fill it in. Review of the agency policy titled, “Rights of the Elderly”, included, “…13. An elderly individual may choose and retain a personal physician and is entitled to be fully informed in advance about treatment or care that may affect the individual’s well-being. 14. An elderly individual may participate in an individual plan of care that describes the individual’s medical, nursing, and psychosocial needs and how the needs will be met…”