Every finding on record at Humanity Home Health Care Inc

A Complaint Survey for complaint #2021001459, was conducted on February 10, 2021 at Humanity Home Health Care Inc. The Home Health Agency was found to be in non-compliance with 42 CFR 484 Subpart A-C requirements for Home Health Agencies.

Conformance with physician orders CFR(s): 484.60(b) Standard: Conformance with physician or allowed practitioner orders. This STANDARD is not met as evidenced by: Based on record review and interview, the Home Health Agency failed to ensure an employee conformed to the physician's orders for 1 out of 3 Sampled Patients (SP). SP#3 Findings include: Record review revealed SP#3 was admitted on 01/15/2020. Further review of SP#3's record revealed a physician's order dated 01/16/2021 that contained the following: "1- (C)Insulin Glargine (Lantus) 30 Units subcutaneous every morning administered by SN. Insulin Glargine (Lantus) 30 Units subcutaneous every pm administered by CG 2- (O) Humulin 70/30 Units subcutaneous in am (SN) and 30 Units Subcutaneous in pm (CG) 3- (C) Humalog Insulin subcutaneous before meals as per sliding scale: 151-200 mg/dl- 3 units; 201-250 mg/dl- 5 Units; 251-300 mg/dl- 8 Units; 301-350 mg/dl- 10 Units; 351-400 mg/dl- 12 Units; more than 400 mg/dl- 15 Units and call MD." Review of SP#3's record revealed the Skilled Nurse (SN) documented the following blood glucose levels: 308 on 01/05/2021; 343 on 01/06/2021; 328 on 01/07/2021; 308 on 01/08/2021; 321 on 01/09/21; 278 on 01/10/2021; 291 on 01/11/2021; 338 on 01/12/2021; on 225 01/18/2021; 244 on 01/19/2021; 239 on 01/20/2021; 267 on 01/21/2021; 222 on 01/22/2021; 249 on 01/23/2021. Further review of the above SN notes revealed no documentation that Staff A administered the Humalog Insulin to SP#3 as ordered by the physician. During an interview conducted on 02/10/2021 at 2:09 PM, the Administrator reviewed the SN notes and acknowledged that they did not contain documentation to demonstrate Staff A administered the Humalog Insulin to SP#3 as ordered by the physician.

Contents of clinical record CFR(s): 484.110(a) Standard: Contents of clinical record. The record must include: This STANDARD is not met as evidenced by: Based on record review and interview, the Home Health Agency failed to ensure 1 out of 3 Sampled Patients (SP)'s record contained all the clinical notes for the services rendered by the Physical Therapist (PT). SP#3 Findings include: Record review revealed SP#3 was admitted on 01/15/2020. Further review of SP#3's record revealed a physician's order dated 01/16/2021 that contained the following: "Physical Therapy: 1 DA 1 for Re-Evaluation in order to update current physical Therapy Care Plan." Additional review of SP#3's record revealed no documentation that the patient was re-evaluated by a Physical Therapist as of 02/10/2021. During an interview conducted on 02/10/2021 at 2:11 PM, the Administrator reviewed SP#3's record and acknowledged it did not contain any documentation to show SP#3 was re-evaluated by a Physical Therapist as of 02/10/2021.