Every finding on record at Edwards Home Health Inc.

A Recertification Survey entrance conference was conducted on 07/08/2024 with the Administrator and Case Manager at 1:53 PM. Census Licensed & Certified Home Health Services: 0 Personal Assistance Services: 0 An exit conference was conducted on 07/17/24 with the Administrator and Case Manager at 2:19 PM. The preliminary findings were discussed. The agency was afforded the opportunity to provide additional information. Written instructions were provided for submitting a plan of correction within 10 days of the receipt of the Statement of Deficiencies.

A Recertification Survey entrance conference was conducted on 07/08/2024 with the Administrator and Case Manager at 1:53 PM. Census Licensed & Certified Home Health Services: 0 Personal Assistance Services: 0 An exit conference was conducted on 07/17/24 with the Administrator and Case Manager at 2:19 PM. The preliminary findings were discussed. The agency was afforded the opportunity to provide additional information. Written instructions were provided for submitting a plan of correction within 10 days of the receipt of the Statement of Deficiencies.

12 hours inservice every 12 months CFR(s): 484.80(d) Standard: In-service training. A home health aide must receive at least l2 hours of in-service training during each 12-month period. In-service training may occur while an aide is furnishing care to a patient. This STANDARD is not met as evidenced by: Based on interview and record review, the agency failed to ensure that their home health aide had at least 12 hours of in-service training during each 12-month period for 2 of 3 years surveyed (2022 and 2023). This failure placed patients at risk of receiving care from a home health aide with inadequate training. Findings include: Review of personnel file for Home Health Aide revealed a hire date of 02/14/2015. Review of personnel file for Home Health Aid revealed certificates showing 8 in-service hours for 2023 and 6 in-service hours for 2021. No in-service hours for 2022 were available. Completed interview with the administrator on 7/17/24 at 10:55 AM. Surveyor asked Administrator to see personnel file for home health aid. Administrator responded stating “We have 1 home health aid” and provided her personnel file. Completed interview with Home Health Aide on 7/17/24 at 1:28 PM. Surveyor asked Home Health Aide if she had more continuing education hours than what she presented. Surveyor showed Home Health Aide that she had certificates for 12 hours in 2021, none for 2022, and 8 hours in 2023. Home Health Aide stated she would try again to find the remaining modules for 2023 and the ones in 2022. At 1:46 PM, the Home Health Aide returned and reported that she was unable to locate additional in-service hours for the remainder of 2023 or 2022. Review of policy titled “HR.8 Home Health Aide Qualifications and Training,” no date, revealed that “A home health aide must receive at least 12 hours of in-service training during each 12-month period” and that “The Agency must maintain documentation that demonstrates the requirements for 12 hours of in-service training have been met.”