Every finding on record at Home Care Network

Emergency Preparedness Survey At the time of the emergency preparedness survey completed 01/19/22, Assurity Home Health Care, Inc is in compliance with the provisions of 42 CFR Part 484.102, Conditions of Participation for Home Health Agencies.

Partial Extended Recertification Survey An entrance conference was conducted on 01/10/22 at 2:00 P.M. with administrative staff and an exit conference was conducted on 01/19/22 at 1:00 P.M. with administrative staff. The following deficiency is issued as a result of the partial extended recertification survey completed on 01/19/22. Assurity Home Health Care, Inc 368157, is not in compliance with the requirements of 42 CFR Part 484, Subpart B, C for Home Health Agencies.

Plan of care must include the following CFR(s): 484.60(a)(2)(i-xvi) The individualized plan of care must include the following: (i) All pertinent diagnoses; (ii) The patient's mental, psychosocial, and cognitive status; (iii) The types of services, supplies, and equipment required; (iv) The frequency and duration of visits to be made; (v) Prognosis; (vi) Rehabilitation potential; (vii) Functional limitations; (viii) Activities permitted; (ix) Nutritional requirements; (x) All medications and treatments; (xi) Safety measures to protect against injury; (xii) A description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors. (xiii) Patient and caregiver education and training to facilitate timely discharge; (xiv) Patient-specific interventions and education; measurable outcomes and goals identified by the HHA and the patient; (xv) Information related to any advanced directives; and (xvi) Any additional items the HHA or physician or allowed practitioner may choose to include. This ELEMENT is not met as evidenced by: Based on medical record review, staff interview, and policy review, the agency failed to ensure the individualized plan of care included the frequency and duration of visits to be made for five of seven patient medical records that were reviewed (Patient #1, #2, #4, #5, and #6). This had the potential to affect all patients receiving home health care services provided by this agency. The census was 49. Findings include: Findings include: Review of the agency policy titled, Plan of Care, revised 06/10/21, revealed the plan of care shall be completed in full to include the type, frequency, and duration of all visits and services. 1. Review of the medical record for Patient #1 revealed orders for home health aide services six hours every week for the duration of the certification period. The orders did not specify how many hours per day or how many days per week the services were to be provided. 2. Medical record review for Patient #2 revealed orders for home health aide services was ordered for fifty hours every week for the duration of the certification period. The orders did not specify how many hours per day or how many days per week the services were to be provided. 3. Medical record review for Patient #4 revealed skilled nursing services was ordered for 14 hours every week for the duration of the certification period. The orders did not specify how many hours per day or how many days per week the services were to be provided. 4. Medical record review for Patient #5 revealed orders for home health aide services was ordered for six hours every week for the duration of the certification period. The orders did not specify how many hours per day or how many days per week the services were to be provided. 5. Medical record review for Patient #6 revealed orders for home health aide services was ordered for nine hours every week for the duration of the certification period. The orders did not specify how many hours per day or how many days per week the services were to be provided. On 01/12/22 at 10:55 A.M. an interview with Staff A confirmed the findings in the medical records.