Every finding on record at Excellent Home Care Services LLC

This Statement of Deficiency is a result of an on-site investigation of complaint NY00270003, conducted at Excellent Home Care Services LLC., located at 91-93 South Third Street, Brooklyn, NY 11211 on 2/24/21. The investigation consisted of a review of three (3) clinical records (identified as Patient #1, #2, and #3), the agency's complaint, and accident/incident report. Pre-survey activities consisted of review on 2/23/2021 of the agency's Health Commerce System account. Interviews were conducted throughout the survey with the Administrator/Director of Patient Services, Director of Rehabilitation and Quality Improvement Assistant. Findings were reviewed at the exit conference. The allegation is substantiated. A Statement of Deficiency will be issued. The following deficiency is being cited as result of the survey: H0608 Coordinate care delivery

Coordinate care delivery CFR(s): 484.60(d)(4) Coordinate care delivery to meet the patient's needs, and involve the patient, representative (if any), and caregiver(s), as appropriate, in the coordination of care activities. This ELEMENT is not met as evidenced by: Based on clinical record review and staff interviews, the agency failed to ensure that all clinicians coordinate care delivery to meet the patient's needs. This was evident for one (1) of three (3) patient care records reviewed (Patient #1). Failure to ensure that all clinicians coordinate to the patient or caregiver the delivery of care has the potential for negative patient outcomes. The findings are: 1. Patient #1 with a date of birth 11/26/2007 has a Start of Care date of 8/6/2018 with the following diagnoses "Epilepsy; Delayed Milestone in Childhood" documented in the Home Health Certification and Plan of Care dated 11/23/2020 to 01/21/2021. The Missed Visit Report dated 1/7/2021,1/8/2021, and 1/21/2021 documents: ST; COVID 19; Physician notified: Yes; Nursing Coordinator/Supervisor: Yes. The Patient Complaint Log documents: Resolution: On 1/13/2021, Patient's caregiver called to question regarding the status of the Speech Therapist; questioning why the therapist stopped visiting the client. The clinical record lacks documented evidence of communication with patient/family related missed Speech Therapy visits. On 02/24/2021 at 03:30pm, the Administrator/Director of Patient Services, Director of Rehabilitation and Quality Improvement Assistant were interviewed, and did not provide an explanation for the findings.