Every finding on record at Healthfield of Tennessee, Inc.

An Emergency Preparedness survey was conducted from 12/14/2021 to 12/16/2021 at Kindred At Home 1. No deficiencies were cited under CFR Part 484.22 Condition of Participation for Home Health Agencies.

A recertification survey was completed on 12/14/2021 to 12/16/2021 at Kindred At Home 1. Deficiencies were cited under CFR Part 484, Requirements for Home Care Organizations Providing Home Health Care.

Interventions and patient response CFR(s): 484.110(a)(2) All interventions, including medication administration, treatments, and services, and responses to those interventions; This ELEMENT is not met as evidenced by: Based on medical record review and interview, the agency failed to obtain parameters for blood glucose monitoring for 1 patient (#5) of 2 patients reviewed for diabetic management. The findings included: Medical record review revealed Patient #5 was admitted to the agency on 7/22/2021 with diagnoses including Type 2 Diabetes Mellitus with Diabetic Chronic Kidney Disease and Type 2 Diabetes Mellitus with Diabetic Neuropathy. Medical record review of the Home Health Certification and Plan of Care dated 11/19/2021 to 1/17/2022 revealed the goal "...Patient/Caregiver verbalizes/demonstrates diabetes management as evidenced by...blood glucose within parameters..." Further review revealed no documentation the agency obtained from the physician the range of blood glucose parameters. Interview with the Administrator on 12/16/2021 at 1:00 PM confirmed the skilled nurse did not obtain blood glucose range parameters from the physician to determine diabetic management.

Goals in the patient's plans of care CFR(s): 484.110(a)(3) Goals in the patient's plans of care and the patient's progress toward achieving them; This ELEMENT is not met as evidenced by: Based on medical record review and interview, the agency failed to monitor the patient's progress toward achieving the goal of diabetic management for 1 patient (#5) of 2 patients reviewed for diabetic management. The findings included: Medical record review revealed Patient #5 was admitted to the agency on 7/22/2021 with diagnoses including Type 2 Diabetes Mellitus with Diabetic Chronic Kidney Disease and Type 2 Diabetes Mellitus with Diabetic Neuropathy. Medical record review of the Home Health Certification and Plan of Care dated 11/19/2021 to 1/17/2022 revealed the goal "...Patient/Caregiver verbalizes/demonstrates diabetes management as evidenced by...blood glucose within parameters..." Further review revealed no documentation the agency obtained from the physician the range of blood glucose parameters. Medical record review of the nurse's notes dated 11/19/2021 to 12/9/2021 revealed the patient did not obtain his blood glucose levels and the skilled nurse did not assess his blood glucose levels during skilled nursing visits. Interview with the Administrator on 12/16/2021 at 1:00 PM confirmed the skilled nurse did not obtain blood glucose range parameters from the physician and did not assess the blood glucose levels. The Administrator confirmed the agency failed to monitor the blood glucose levels and was unaware if the patient met his goals.