Every finding on record at H-Shalom Home Health Care Agency LLC

A re-certification survey was completed on 3/25/26. One Deficiency was cited.

Promptly alert relevant physician of changes CFR(s): 484.60(c)(1) The HHA must promptly alert the relevant physician(s) or allowed practitioner(s) to any changes in the patient's condition or needs that suggest that outcomes are not being achieved and/or that the plan of care should be altered. This ELEMENT is not met as evidenced by: Based on the record review and interview, the agency failed to alert the physicians to a change in the patient's condition after the change, suggesting outcomes were not being achieved for 1/1 patients reviewed with a change in condition (Patient #1). Findings include: Record review completed on 3/23/26 at 12:35 p.m., revealed a plan of care (POC) for Patient #1 with a certification period of 3/17/26 to 5/15/26. The orders signed by the physician included a statement, “Notify physician of vital sign parameters out of range, including a pain level greater than six. a. The agency failed to notify the physician of a change in the patient's condition. Specifically, the agency did not notify of the patient's increased pain level. Further record review revealed a nursing visit completed on 3/16/26. Under the pain assessment, the registered nurse (RN) documented a pain score of 9. There was no further documentation showing the physician was notified of the increased pain level. There was no documentation revealing the physician was notified of the change in condition. During an interview completed on 3/24/26 at 12:28 p.m., the alternate Director of Nursing (DON) reviewed the plan of care with surveyors present and confirmed the agency failed to notify the physician of the changes as it was written in the plan of care.