Every finding on record at Healing Home Healthcare Inc

An unannounced home health agency Medicare Complaint #106778 survey was conducted from August 26,2024 to August 27, 2024 by the Office of Licensure and Certification, Virginia Department of Health. The complaint was found to be in compliance with the Federal requirements of 42 CFR 484, the Medicare Conditions of Participation of Home Health Agencies with one unrelated deficiency.

Written notice for non-covered care CFR(s): 484.50(c)(8) Receive proper written notice, in advance of a specific service being furnished, if the HHA believes that the service may be non-covered care; or in advance of the HHA reducing or terminating on-going care. The HHA must also comply with the requirements of 42 CFR 405.1200 through 405.1204. This ELEMENT is not met as evidenced by: Based on clinical record review and agency policy, it was determined the agency failed to provide a Home Health Change of Care Notice (HHCCN) to a Medicare patient in advance of reducing services for one (1) of one (1) clinical record in the survey sample for which a HHCCN was applicable (Clinical Record for Patient #1). Findings: Five (5) clinical records were reviewed. The clinical record of Patient #1 start of care date of September 29, 2023 contained a plan of care with physician's order for Occupational Therapy (OT) visits two (2) times a week for six (6) weeks. The clinical record indicated a physician order on October 04, 2023 to change the OT frequency to one (1) time a week for six (6) weeks. The clinical record contained an unsigned HHCCN advising of the OT frequency reducing to one (1) time a week. The clinical record failed to contain evidence the agency provided the patient or caregiver an advanced notice HHCCN prior to reducing OT visits. Review of the agency’s policy titled “Patient Bill of Rights p 9” indicated the patient has the right to be fully informed, in advance, about care/service to be provided, including disciplines that furnish care and the frequency of visits, as well as any modification to the plan of care.