Every finding on record at Icare Health Services LLC

SUBSTANTIAL ALLEGATION SURVEY SUBSTANTIAL ALLEGATION 107649 The following deficiency is based upon substantial allegation 107649 completed on 07/30/24. ICare Health Services is not in compliance with the requirements found at 42 CFR Part 484 Subpart B, C, Home Health Agencies.

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 record review and interview, the agency failed to ensure patients received the home health services as written in the plan of care. This affected two (Patients #1 and #3) of four medical records reviewed. The agency census was 48. Findings include: 1. Review of the medical record for Patient #1 revealed a plan of care dated 03/15/24 to 05/13/24 with orders for home health aide services two hours per day, seven days per week. Review of the medical record from 03/17/24 through 04/27/24 revealed home health aide visits for two hours a day and four hours per day, seven days per week for 42 hours per week. On 07/29/24 at 3:40 PM, Staff A verified the Passport hours were not included on the plan of care and there were no orders for those hours as Passport does not require them. 2. Review of the medical record for Patient #3 revealed plans of care dated 04/19/24 to 06/17/24 and 06/18/24 to 08/16/24. The plan listed home health aide services for assistance with personal care and activities of daily living but lacked an amount, frequency or duration. Review of the medical record from 06/17/24 through 07/12/24 revealed home health aide visits six hours per day, five days per week for a total of 30 hours per week. On 07/30/24 at 10:15 AM, Staff B verified the home health hours were incomplete.