Every finding on record at Inspiration Home Health, LLC

Based on a recertification survey conducted 4/8/2024 through 4/11/2024, it was determined that Inspiration Home Health was found in compliance with the Conditions of Participation for Emergency Preparedness; 42 CFR (Code of Federal Regulations) 484.22 and 484.102.

A recertification survey was conducted at Inspiration Home Health from 4/8/2024 through 4/11/2024, to assess compliance with the 42 Code of Federal Regulations for Home Health agencies. Noncompliance was identified and a deficiency was cited in the following area: §484.60 Care planning, coordination of services, and quality of care.

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 interview and record review, it was determined the home health agency did not ensure care and services were provided as identified in the plan of care (POC) for 1 of 17 sampled patients. Specifically, aide visits were not provided as ordered in the POC. (Patient identifier: 14) Findings include: Patient 14 was admitted to the home health agency on 2/9/2024, with a diagnosis of atherosclerotic heart disease of native coronary artery without angina pectoris. Patient 14’s medical record was reviewed on 4/11/2024. Review of the plan of care (POC), developed for patient 14 on 2/9/2024, indicated that a home health aide was to visit the patient 1 time per week for 8 weeks. No documented evidence was found in the medical record to indicate a home health aide visit was completed for patient 14 from 2/9/2024 to 2/20/2024. In an email communication at 9:09 AM on 4/11/2024, surveyors asked if there was documentation regarding missed aide visits for patient 14 in the medical record. An email response from the agency was received at 9:28 AM on 4/11/2024, stating no aide visits had occurred for patient 14 between 2/9/2024 and 2/20/2024, due to the agency not receiving (health insurance company) authorization until 2/20/2024. In an interview with the director of nursing (DON) at 1:30 PM on 4/11/2024, the DON stated that although the insurance company had not yet provided authorization, aide visits should have been made because home health aide visits were on the plan of care orders for the patient.