Every finding on record at E & R Health Care Inc

A complaint survey CCR# 2020008452 & CCR# 2021003295 was conducted on March 24, 2021 and March 25, 2021 at E & R Health Care Inc. The facility was not in compliance with Code of Federal Regulations (CFR) 42, Part 484, Requirements for Home Health Agencies.

Transfer and discharge CFR(s): 484.50(d) Standard: Transfer and discharge. The patient and representative (if any), have a right to be informed of the HHA's policies for transfer and discharge. The HHA may only transfer or discharge the patient from the HHA if: This STANDARD is not met as evidenced by: Based on record review and interview, the Agency failed to notify in writing of the date of termination and the reason for termination for 1 out of 2 (#1) discharged sample patients (SP). Findings include: A review of SP#1's record revealed the Agency terminated services on 03/10/2021 because of Staffing related issues. Further record review revealed no documentation showing SP#1 was notified in writing of the date of termination and the reason for termination prior to 03/10/2021. On 03/25/2021 at 10:39 AM, the administrator acknowledged that she had not provided SP#1 written notification of termination of services prior to 03/10/2021. The administrator stated that they do provide their Medicare patients with the termination letter.

A Complaint Survey for complaint #2021000243, was conducted on February 11, 2021 at E & R Health Care Inc. The Home Health Agency was found to be in non-compliance with 42 CFR 484 Subpart A-C requirements for Home Health Agencies.

Contents of clinical record CFR(s): 484.110(a) Standard: Contents of clinical record. The record must include: This STANDARD is not met as evidenced by: Based on record review and interview, the Home Health Agency failed to ensure that 2 out 3 Sampled Patients (SP)'s records contained the admission documents and consent forms for the most recent home health admissions. SP#1 and SP#2 Findings include: 1) Review of SP#1's record revealed a start of care dated 02/19/2020. Further record review revealed the patient is receiving home health aide services from the agency. Further review of SP#1's record revealed no documentation that the agency completed the initial admission documents nor the required consent forms on 02/19/2020. During an interview conducted on 02/11/2021 at 12:05 PM, the Administrator acknowledged that SP#1's record did not contain documentation to demonstrate the agency completed the admission documents and consent forms with the patient on 02/19/2020. 2) Review of SP#2's record revealed a start of care dated 08/06/2020. Further record review revealed the patient is receiving home health aide services from the agency. Further review of SP#2's record revealed no documentation that the agency completed the initial admission documents nor the required consent forms on 08/06/2020. During an interview conducted on 02/11/2021 at 1:37 PM, the Administrator acknowledged that SP#2's record did not contain documentation to demonstrate the agency completed the admission documents and consent forms with the patient on 08/06/2020.