Every finding on record at Home Aide Service of Eastern New York, Inc.

The following statement of deficiencies represents the results of a complaint investigation # 107683 that was conducted on July 02, 2024. The survey consisted of a review of three patient records and interviews with the Executive Director and Director of Patient Services. The census at the time of the survey was 1260. The allegations in complaint # 107683 were determined to be substantiated The following deficiency was identified as a result of the survey: .G 514 Standard: Initial Assessment Visit.

RN performs assessment CFR(s): 484.55(a)(1) A registered nurse must conduct an initial assessment visit to determine the immediate care and support needs of the patient; and, for Medicare patients, to determine eligibility for the Medicare home health benefit, including homebound status. The initial assessment visit must be held either within 48 hours of referral, or within 48 hours of the patient's return home, or on the physician or allowed practitioner - ordered start of care date. This ELEMENT is not met as evidenced by: Based on clinical record review and staff interview evidence is lacking in one of three records (Patient # 1) the initial assessment visit was conducted within 48 hours of receiving the referral for services, within 48 hours of the patient's return home or on the physician ordered start of care date. Failure to conduct the initial assessment within the required time frame has the potential to result in unmet patient needs and negative patient outcomes. Finding: Patient # 1 (start of care 06/18/2024) has a diagnosis of Other Specified Complication of Internal Orthopedic Prosthetic Device, implants and Grafts, Initial Encounter. A referral received from the hospital (dated 06/10/2024) with no specific physician ordered start of care date received. The following time-line of events is from a Registered Nurse (RN) note (dated 06/18/2024): 06/14/2024 - Patient discharged from hospital to home. 06/16/2024 - Patient contacted via telephone regarding setting up an initial assessment on the same day. During telephone contact the agency found out they had accepted the referral for a patient that resides outside the agency's approved service area. Agency did not conduct the initial assessment. 0617/2024 - Hospital contacted agency regarding patient not receiving services. Agency stated they would contact other agency's to see if they would accept referral. None were able to. Agency contacted Department of Health to secure a waiver to accept patient who resides outside approved service area. Agency did not submit all required forms to Department on 06/17/2024. All required forms not received for approval until 06/18/2024. 06/18/2024 - Department approved waiver. Agency conducted initial assessment. The initial assessment was conducted two days after the required time frame.