Every finding on record at Homecare With Heart Services LLC

Substantial Allegation Survey Substantial Allegation MERGEFIELD Complaint_ 107259 The following deficiency is based upon substantial allegation MERGEFIELD Complaint_ 107259 completed on MERGEFIELD Date 07/08/24. MERGEFIELD Facility_Name Homecare With Heart Services LLC, MERGEFIELD CCN 369144, is in substantial compliance with the requirements found at MERGEFIELD Reg 42 CFR Part 484, Subpart B, C, MERGEFIELD Type Home Health Agency. An entrance conference was conducted on 07/08/24 at 8:16 AM with administrative staff, an exit conference was conducted on MERGEFIELD Date 07/08/24 at 4:39 PM with administrative staff.

Plan of care CFR(s): 484.60(a)(1) Each patient must receive the home health services that are written in an individualized plan of care that identifies patient-specific measurable outcomes and goals, and which is established, periodically reviewed, and signed by a doctor of medicine, osteopathy, or podiatry acting within the scope of his or her state license, certification, or registration. If a physician or allowed practitioner refers a patient under a plan of care that cannot be completed until after an evaluation visit, the physician or allowed practitioner is consulted to approve additions or modifications to the original plan. This STANDARD is not met as evidenced by: Based on medical record review, policy review, and interview, the agency failed to provide home health aide services per the plan of care for three (Patient #1, #4 and #5) out of three medical records reviewed. The agency's active census was 110. 1. Patient #1 was admitted to the agency on 03/15/24 with a diagnosis including Multiple Sclerosis (MS). Patient #1 was assessed on admission as having paralysis to left upper extremity and bilateral lower extremities secondary to MS. The orders for aide services were for up to 70 hours per week. The agency provided 10 hours of aide services everyday since admission except for the following days. The reduced hours that the agency provided are listed below. 03/24/24 5 hours 04/15/24 4 hours 05/01/24 6.25 hours 05/04/24 7.75 hours 05/05/24 8.5 hours 05/11/24 5 hours 05/19/24 5 hours 05/25/24 6 hours 05/31/24 9.25 hours 06/01/24 5 hours 06/02/24 8.75 hours 06/03/24 7.5 hours 06/16/24 7 hours 06/22/24 4.5 hours 06/24/24 8 hours 06/26/24 9.75 hours 06/30/24 9.25 hours The agency completed missed visit forms for the reduced hours that were provided above. The missed visit notifications were sent only to the case manager, not to the physician. 2. The agency completed missed visit forms for Patient #4 on 05/09/24, 06/06/24, 06/13/24, 06/14/24, 06/17/24, and 06/22/24 due to "staff not available". The agency did not notify the physician of the missed visits. 3. The agency completed missed visit forms for Patient #5 on 05/08/24, 05/21/24, 07/02/24, 07/03/24 and 07/04/24 due to "staff not available". The agency did not notify the physician of the missed visits. The findings were shared with Staff A on 07/08/24 at 10:39 AM and confirmed. The agency's Clinical Record Contents policy revised 05/29/18 stated, "The physician will be notified of any changes in the patient/client's plan of care." This deficiency represents non-compliance investigated under Complaint Number MERGEFIELD Complaint_ 107259.