Every finding on record at Horizons Home Care Inc

An Emergency Preparedness survey was conducted by the Indiana Department of Health in accordance with 42 CFR 484.102 for a Home Health Provider and Supplier. Survey Date: 6/16-6/17/2022 AND 6/20-6/24/2022 Census: 188 At this Emergency Preparedness survey, Horizons Home Care INC was found to be in compliance with Conditions of Participation 42 CFR 484.102 Emergency Preparedness requirements for Medicare Participating Providers and Suppliers. QR Completed 7/1/2022 A4

This visit was for a Federal Recertification and State Re-licensure survey of a Provider with vaccine compliance survey. Survey Dates: 6/16-6/17/2022 and 6/20-6/24/2022 Census: 188 This deficiency report reflects State Findings cited in accordance with 410 IAC 17.

Infection Prevention CFR(s): 484.70(a) Standard: Infection Prevention. The HHA must follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases. This STANDARD is not met as evidenced by: Based on observation, record review, and interview the agency failed to ensure standard infection control precautions were followed for cleaning equipment after use for 6 of 7 home visit observations (Patient 8, 9, 10, 11, 12, 13) Findings include: 1. A revised 8/2017 policy titled Description of Services, Occupational Therapist, Physical therapist, and Speech Therapist was provided by the Administrator on 6/17/2022 at 3:15 p.m. The policy indicated, but was not limited to, "Policy: All therapy services will be provided under the supervision of a qualified therapist and in compliance with the Plan of Care...” 2. A revised 8/2017 policy titled Cleaning of Equipment, Supply Bag and Other supplies was provided by the Administrator on 6/17/2022 at 3:15 p.m. The policy indicated, but was not limited to "Policy: Horizons Home Care staff will adhere to infection control policies regarding cleaning of equipment, supply bag and other supplies..." 3. A revised 8/2017 policy titled Bag Technique was provided by the Administrator on 6/17/2022 at 3:15 p.m. The policy indicated but was not limited to "Policy: Horizons Home Care will ensure that all field staff member follow infection control measures when instituted when utilizing a “bag” for supplies in the patient’s home…Procedure: 1. When the supply bag is required to be taken into the home, the following procedures will be followed:…h. Clean any items from the supply bag which have become soiled during patient care. Place them on a barrier or clean paper towel. i. wash hands and return equipment to supply bag. Close supply bag..." 4. A review of an updated 2021 General Guidelines for Use of Super Sani-Cloth Germicidal Disposable Wipes indicates a surface must dry for two minutes after use. 5. During a home visit on 6/21/2022 at 9:28 a.m. with patient 8, a Registered Nurse (RN-6) was observed disinfecting vital sign equipment (blood pressure cuff, stethoscope, oxygen saturation device) after use with Sani Wipes. RN-6 immediately put equipment away into the clean part of the bag without allowing time on a clean barrier to dry while washing hands per policy. 6. During a home visit on 6/21/2022 at 8:00 a.m. with patient 9, a Certified Occupational Therapy Assistant (OT-5) was observed disinfecting vital sign equipment (blood pressure cuff, stethoscope, oxygen saturation device) after use with Sani Wipes. OT-6 immediately put equipment away into the clean part of the bag without allowing time on a clean barrier to dry while washing hands per policy. 7. During a home visit on 6/20/2022 at 1:05 p.m. with patient 10, a Registered Nurse (RN-2) was observed disinfecting vital sign equipment (blood pressure cuff, stethoscope, oxygen saturation device) after use with Sani Wipes. RN-2 immediately put equipment away into the clean part of the bag without allowing time on a clean barrier to dry while washing hands per policy. 8. During a home visit on 6/20/2022 at 11:30 a.m. with patient 11, a Physical Therapist (PT-1) was observed disinfecting vital sign equipment (blood pressure cuff, stethoscope, oxygen saturation device) after use with Sani Wipes. PT-1 immediately put equipment away into the clean part of the bag without allowing time on a clean barrier to dry while washing hands per policy. 9. During a home visit on 6/20/2022 at 10:22 a.m. with patient 12, a Speech Language Therapist (OS-1) was observed disinfecting vital sign equipment (blood pressure cuff, stethoscope, oxygen saturation device) after use with Sani Wipes. OS-1 immediately put equipment away into the clean part of the bag without allowing time on a clean barrier to dry while washing hands per policy. 10. During a home visit on 6/20/2022 at 9:02 a.m. with patient 13, a Certified Occupational Therapy Assistant (OT-5) doing a Home Health Aide visit was observed disinfecting vital sign equipment (blood pressure cuff, stethoscope, oxygen saturation device) after use with Sani Wipes. OT-5 immediately put equipment away into the clean part of the bag without allowing time on a clean barrier to dry while washing hands per policy. 11. During an interview on 6/21/2022 at 1:20 p.m. the Administrator indicated not being aware of the need to allow equipment to dry before being put away after being disinfected with the wipes used by staff. 410 IAC 17-12-1 (m)