Every finding on record at Deluxe Home Health Care, LLC

Recertification survey completed. Standard Level deficiencies cited. Abbreviations: SN = Skilled Nurse

Conformance with physician orders CFR(s): 484.60(b) Standard: Conformance with physician or allowed practitioner orders. This STANDARD is not met as evidenced by: Based on clinical records review and Staff interview, it was determined the Agency failed to ensure conformance with physician orders. This was found in 3 of 7 (Pts. #1, 4 and 6) records reviewed. 3. Patient #6 was admitted to Home Health services on 02/21/23. Diagnosis: Type 2 Diabetes Mellitus. The clinical record was reviewed on 10/18/23. The signed Physician orders effective 02/21/23 included orders for SN to visit 1 time a week for 9 weeks. The clinical record lacked visits for the week of 02/26/23 (week # 2), week of 03/05/23 (week #3), week of 03/12/23 (week #4), week of 03/19/23 (week #5) and week of 03/26/23 (week #6), as ordered. 4. During interviews with Administrator, Director of Nursing and Registered Nurse on 10/19/23 from 9:40 AM to 11:30 AM, the above findings of not following physician orders were confirmed. Findings include: 1. Patient #1, was admitted to the Home Health services on 03/01/23. Diagnoses: Hypertensive Heart Disease with Heart Failure and Type 2 Diabetes Mellitus with Foot Ulcer. The clinical record was reviewed on 10/17/23. The Physician orders dated 08/28/23 included orders for the SN to perform weekly weights and assess pain weekly. The SN assessments did not include the patient’s pain and weight during the weeks of 10/01/23 (week #6) and 10/08/23 (week #7), as ordered. 2. Patient #4, was admitted to the Home Health services on 04/08/23. Diagnoses: Primary Generalized Osteoarthritis and Type 2 Diabetes Mellitus without Complications. The clinical record was reviewed on 10/18/23. The Physician orders dated 07/31/23 included orders for the SN to notify the Physician of fasting blood sugar greater than 250 or less than 70. The SN assessments did not include the blood sugars the weeks of 08/13/23 (week #2), 08/20/23 (week #3), and 08/27/23 (week #4), as ordered.