Every finding on record at Hopehealth Community Visiting Nurse Agency, Inc.

A Recertification survey was conducted at Hope Health Community Visiting Nurse Agency on 3/1/23, 3/2/23, 3/3/23, 3/7/23, 3/8/23, 3/9/23, for compliance with 42 CFR Part 484.102 Emergency Preparedness for Home Health Agencies. As a result of this survey, it was determined the agency was in compliance with these requirements. No deficiencies were cited.

A Recertification survey was conducted at Hope Health Community Visitng Nurse Agency on 3/1/23, 3/2/23, 3/3/23, 3/7/23, 3/8/23, 3/9/23, to determine compliance with the 42 CFR Part 488 requirements for Home Health Agencies. As a result of this survey, it was determined the agency was not in compliance with these requirements. Deficiencies were cited.

Receive all services in plan of care CFR(s): 484.50(c)(5) Receive all services outlined in the plan of care. This ELEMENT is not met as evidenced by: Based on record review and staff interviews, the agency failed to ensure that for one patient (RR#1), of a total sample of 17 patients (RR's) reviewed, that the agency provided Home Health Aide (HHA) services that were ordered by the physician and written in the plan of care. Findings include: On 3/7/23, review of RR#1's Plan of Care included but was not limited to HHA services. Review of the Plan of Care, signed by the physician on 2/22/23, indicated that a HHA would visit the patient in their home, 2x per week for 6 weeks starting on 2/26/23, and continuing through 4/8/23. On 3/7/23, record review indicated that the patient had not received any visits from a HHA during the week of 2/26/23, as ordered by the physician in the plan of care. During an interview on 3/7/23 at 10:40 A.M., the Quality Assurance (QA) nurse said that the patient did not receive any HHA visits the week of 2/26/23. She said, "It was an oversight," and the Vice President (VP) of Home Care was investigating the issue. During an interview on 3/9/23 at 1:05 P.M., the VP of Home Care said that RR#1's two missed visits the week of 2/26/23 were due to a "scheduling error, human error." She indicated that the scheduler was relatively new to the job and the visits were not scheduled.