Every finding on record at Granny's Home Health Care Inc

A complaint survey CCR# 2021005806 was conducted on May 13, 2021 at Granny's Home Care Inc. The facility was not in compliance with Code of Federal Regulations (CFR) 42, Part 484., Requirements for Home Health Agencies.

Duties of a HH aide CFR(s): 484.80(g)(3) The duties of a home health aide include: (i) The provision of hands-on personal care; (ii) The performance of simple procedures as an extension of therapy or nursing services; (iii) Assistance in ambulation or exercises; and (iv) Assistance in administering medications ordinarily self-administered. This ELEMENT is not met as evidenced by: Based on record review and interview, the provider failed to ensure that 2 out of 2 (#1, #2) sample patient (SP) records included the duties that were performed by home health aides. Findings include: Record review revealed no documentation showing the home health aide services that were provided to SP#1 from 05/02/2021 - 05/07/2021. Record review revealed no documentation showing the home heath aide services that were provided to SP#4 from 04/26/2021 - 05/07/2021. A review of the provider's policy on Home Health Aide Documentation revealed, "the home health aide will document services rendered to the patient on the appropriate home health aide visit form as directed in the Aide care plan/assignment sheet." On 05/13/2021 at 12:17 PM, the administrator acknowledged not having documentation showing the home health aide services that were provided to SP#1 and SP#2.

Non-skilled direct observation every 60 days CFR(s): 484.80(h)(2) If home health aide services are provided to a patient who is not receiving skilled nursing care, physical or occupational therapy, or speech-language pathology services, the registered nurse must make an on-site visit to the location where the patient is receiving care no less frequently than every 60 days in order to observe and assess each aide while he or she is performing care. This ELEMENT is not met as evidenced by: Based on record review and interview, the provider failed to ensure that a registered nurse conducted an on-site direct observation of care visit to 2 out of 2 (#1, #2) sample patients (SP) no less frequently than every 60 days. Findings include: A review of SP#1's and SP#2's service agreement forms revealed home health aide services as the only agreed upon service dated 06/12/2019 and 06/06/2019, respectively. A review of SP#1's and SP#2's records revealed no documentation showing that a registered nurse conducted an on-site direct observation of care visit after the start of service agreement dates. On 05/13/2021 at 12:02 PM, the administrator reviewed the records for SP#1 and SP#2 and acknowledged not having documentation to show that a registered nurse conducted an on-site direct observation of care visit to SP#1 and SP#2.