Every finding on record at Home Care Network, Inc.

Emergency Preparedness Survey At the time of the emergency preparedness survey completed on 08/11/22, Home Care Network, 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 08/08/22 at 11:20 AM with administrative staff, and an exit conference was conducted on 08/11/22 at 5:15 PM with administrative staff. The following deficiency is based on the partial extended recertification survey completed 08/11/22. Home Care Network, Inc 367336, is not in compliance with the requirements at 42 CFR Part 484, Subpart B, C for Home Health Agencies.

A review of all current medications CFR(s): 484.55(c)(5) A review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with drug therapy. This ELEMENT is not met as evidenced by: Based on medical record review, policy review, and staff interview, the agency failed to ensure a staff nurse performed a review of all medications currently used by a patient to identify any potential adverse effects and ineffective drug therapy for one of seven patients reviewed (Patient #3). The agency census was 18. Findings include: Patient #3 was admitted for services on 09/19/14 with diagnoses that included cerebral palsy and hearing loss. The certification period reviewed was 06/09/22 through 08/07/22. Physician orders included home health aide services for 50 hours weekly for assistance with personal care and homemaker needs and one skilled nurse visit every sixty days. The plan of care noted that the physician ordered for the patient to receive Norvasc (medication used to treat high blood pressure) 2.5 milligrams (mg) twice a day and Carvedilol (medication used to treat high blood pressure) 3.125 mg twice a day. A home health aide home visit was conducted on 08/09/22 at 4:00 PM. The aide, also the parent of Patient #3, was interviewed and asked if the two anti-hypertensive medications listed on the plan of care were being administered as ordered by the physician. She stated that these medications had not been administered "for a while." The patient's parent explained that the patient lost a significant amount of weight several months ago and she believed that the weight loss had lowered the patient's baseline blood pressure causing the patient to no longer need these medications. The parent stated that she had shared this information with the patient's physician and agency nursing staff for months, however, the medications remained on the plan of care. The facility policy titled, Medication Profile, was reviewed on 08/10/22 at 2:30 PM. According to the policy, nursing staff are instructed to review the patient's medications and compare them to the medication profile every sixty days. These findings were confirmed in an interview with Staff A on 08/10/22 at 3:45 PM.