Every finding on record at First Choice Home Care of Lake County

EMERGENCY PREPAREDNESS SURVEY At the time of the emergency preparedness survey completed on 03/16/23, First Choice Home Care of Lake County is in compliance with the provisions of 42 CFR Part 484.102, Conditions of Participation for Home Health Agencies.

Partial Extended Recertification Survey An entrance conference was conducted on 03/13/23 at 1:40 PM with the Administrator. An exit conference was conducted on 03/16/23 at 4:15 PM with the Administrator. The following deficiency is based on the partial extended recertification survey completed 03/16/23. First Choice Home Care of Lake County 367010, is not in compliance with the requirements at 42 CFR Part 484, Subpart B, C for Home Health Agencies.

A review of all current medications CFR(s): 484.55(c)(5) A review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with drug therapy. This ELEMENT is not met as evidenced by: Based on observation, record review and staff interview, the agency failed to review of all medications the patient is currently using for one of one patient observed during a home visit (Patient #4). The total sample was nine records. This could affect all patients receiving services from the agency. The census was two. Findings include: A home visit was made on 03/14/23 at 9:30 AM for Patient #4 with Staff D present. Interview on 03/14/23 at 9:42 AM with Patient #4 revealed they were independent in taking their own medications. Patient #4 presented the medications taken and stated which ones were taken twice a day. Observation of the medication bottles in the patient's home revealed Metformin (for diabetes) 500 milligrams (mg) to be taken twice a day. The prescription was filled on 01/27/23. Further observation revealed a prescription bottle for Gabapentin (for nerve pain) 300 mg to be taken three times a day. The prescription was filled on 12/23/22. Review of the medical record for Patient #4 and the current medication profile, last reviewed 02/27/23, revealed Metformin 500 mg, but to take daily. Review of the medical record and current medication profile, last reviewed 02/27/23, revealed Gabapentin 300 mg, but to take daily. Per interview on 03/14/23 at 9:54 AM Patient #4 stated they took PreserVision Areds (supplement for the eyes) twice a day. Review of the medical record for Patient #4 and current medication profile, last reviewed 02/27/23, revealed PreserVision Areds was to be taken daily. Interview on 03/14/23 at 9:55 AM with Patient #4 revealed they took Centrum (multivitamin) twice a day. Review of the Centrum website (www.centrum.com) revealed Centrum contained Vitamin D3 15 micrograms (mcg) and Vitamin B12 2.4 mcg. Review of the medical record and current medication profile, last reviewed 02/27/23, revealed Vitamin D3 1,250 mcg to be taken daily and Vitamin B12 1,000 mcg to be taken daily. Interview on 03/14/23 at 10:03 AM with Staff D confirmed that the medications taken by Patient #4 and what was on the prescription labels did not match the current medication profile.