Every finding on record at Integrity Health Services

A complaint survey for complaint number 2022001053, was conducted on March 17, 2022, at Team Select Home Care. The Home Health Agency was in non-compliance with 42 CFR 484 Subpart A-C, Requirements for Home Health Agencies.

Plan of care must include the following CFR(s): 484.60(a)(2)(i-xvi) The individualized plan of care must include the following: (i) All pertinent diagnoses; (ii) The patient's mental, psychosocial, and cognitive status; (iii) The types of services, supplies, and equipment required; (iv) The frequency and duration of visits to be made; (v) Prognosis; (vi) Rehabilitation potential; (vii) Functional limitations; (viii) Activities permitted; (ix) Nutritional requirements; (x) All medications and treatments; (xi) Safety measures to protect against injury; (xii) A description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors. (xiii) Patient and caregiver education and training to facilitate timely discharge; (xiv) Patient-specific interventions and education; measurable outcomes and goals identified by the HHA and the patient; (xv) Information related to any advanced directives; and (xvi) Any additional items the HHA or physician or allowed practitioner may choose to include. This ELEMENT is not met as evidenced by: Based on record review and interview, the provider failed to include in the individualized plan of care, the frequency and duration of visits to be made for 1 out of 3 (#1) Sampled Patients (SP). Findings include: Record review of SP#1 Plan of Care for certification periods 12/26/2021 to 2/23/2022 and 2/24/2022 to 4/24/2022, revealed that the Home Health Agency did not include the frequency and duration of visits to be made On 03/17/2022 at 3:09 PM, the Administrator acknowledged that SP#1’s plan of care did not include the frequency and duration of visits to be made.

Communication with all physicians CFR(s): 484.60(d)(1) Assure communication with all physicians or allowed practitioners involved in the plan of care. This ELEMENT is not met as evidenced by: Based on record review and interview, the provider failed to ensure that 3 out of 3 (#1, #2, #3) sample patients (SP) physicians were promptly alerted to changes in the plan of care. Findings include: A review of SP#1's. SP#2’s, and SP#3’s clinical record revealed there were missed visits for the months of January 2022, February 2022, and March 2022. Further record review revealed no documentation showing SP#1’s physician, SP#2’s physician, and SP#3’s physician were alerted to the changes in the plan of care. On 03/17/2022 at 3:09 PM, the Administrator acknowledged not having documentation showing SP#1’s physician, SP#2’s physician, and SP#3’s physician was alerted to the changes in the plan of care.