Every finding on record at Interim Health Care of Dayton, Inc

EMERGENCY PREPAREDNESS SURVEY At the time of the emergency preparedness survey completed on 05/26/21, Interim Health Care of Dayton is in compliance with the provisions of 42 CFR Part 484.102, Conditions of Participation for Home Health Agencies.

PARTIAL EXTENDED RECERTIFICATION SURVEY COVID 19 FOCUSED INFECTION CONTROL SURVEY The following deficiency was issued as a result of the Partial Extended Recertification Survey completed on 05/26/21. Interim Health Care of Dayton 367165, was found not to be in compliance with the requirements at 42 CFR Part 484, Subpart B, C for Home Health Agencies. A COVID 19 Focused Infection Control Survey conducted concurrently revealed the facility is in compliance with the requirements at 42 CFR Part 484.70 related to Infection Control.

A review of all current medications CFR(s): 484.55(c)(5) A review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with drug therapy. This ELEMENT is not met as evidenced by: Based on review of medications during home visits, patient phone interview and staff interview, the agency failed to ensure that all medications were reviewed in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with drug therapy for two of three home visits made (Patient #1 and #3). The total sample was seven patients. The census was 42. Findings include: 1. A home visit with Patient #1 took place on 05/24/21; however, a medication review was conducted by phone with the patient on 05/25/21 at 10:30 AM. During the conversation Patient #1 was asked if she was still taking Senna Laxative 8.6 milligrams (mg) two times daily as needed and as documented on the agency's medication profile. Patient #1 stated she stopped taking that medication last year. This writer then asked Patient #1 if she was taking any other medications or supplements that were not listed on the medication profile and she stated that she was taking a multivitamin complete for women over the age of 50-years-old. She added that she was taking it daily and started taking it eight to ten months ago. Patient #1 said she had also been taking Vitamin D3 and started taking that about the same time as the multivitamin. Lastly, Patient #1 said she was taking Extra Strength Tylenol 500 mg as needed and did take two pills yesterday when she ran out of her pain pills. 2. A home visit took place with Patient #3 on 05/24/21 and a face to face medication review was made with the patient. The medication list provided by the agency was reviewed with the patient. Regarding the Aveeno Baby 1% topical cream, Patient #1 stated that she had a rash on her bottom a couple years ago but that went away, and she had not used it since. This writer questioned Patient #3 if she was currently taking any other medications including over-the-counter medications that were not listed on her medication profile. Patient #3 stated she was taking an 81 mg baby aspirin daily and had been for about a year. Patient #3 also said she was taking Metamucil as needed and had been taking that for about a year. These findings were shared with Staff A in an interview the morning of 05/25/21. Staff A acknowledged the need to review this with her staff nurses.