Every finding on record at Franklin County Home Health Ag

An onsite recertification survey was conducted 1/7/25-1/8/25. No deficiencies to the Emergency Preparedness Program were identified.

An onsite recertification survey was conducted 1/7/25-1/8/25. A deficiency to the Medicare Conditions of Participation was identified.

Only as ordered by a physician CFR(s): 484.60(b)(1) Drugs, services, and treatments are administered only as ordered by a physician or allowed practitioner. This ELEMENT is not met as evidenced by: Based on policy review, clinical record review, and staff interview, the agency failed to follow the plan of care for skilled nursing visits as ordered by the physician for 1 of 9 records reviewed (#8). Findings included: Review of policy, “Patient Plan of Care”, revised 05/01/2011, was received from the agency on 01/08/25 at 12:45 PM. The policy stated”, …the plan of care is based upon an individualized patient assessment, in consultation with of members of the health care team and the patient/caregiver in accordance with the physicians’ orders…” Patient #8 was admitted was admitted on 08/30/2024 with diagnoses of acute and chronic respiratory failure, chronic obstructive pulmonary disease (lung disease), acute on chronic diastolic congestive heart failure, and dependence on supplemental oxygen. The plan of care for 10/29/24 to 12/27/24 had orders for skilled nursing 1 time a week for 1 week, and 2 times a week for 8 weeks with 4 as needed visit for complications related to new oxygen orders and use of equipment. Review of the clinical record on 01/08/25 revealed only 1 skilled nursing visit was completed as ordered for the week of 11/25/24. Interview with the skilled nurse on 01/08/25 at 12:03 PM revealed, “I remember him not wanting me to come at the end of the week due to Thanksgiving, I didn’t put the missed visit in the computer, and I didn’t notify the doctor”.