Every finding on record at Interim Health Care of East Tennessee

An Emergency Preparedness survey was conducted from 9/19/2023 to 9/21/2023 at Interim Health Care of East Tennessee. No deficiencies were cited under CFR Part 484.22 Condition of Participation for Home Health Agencies.

A Recertification survey was conducted on 9/19/2023 to 9/21/2023 at Intermin Health Care of East Tennessee. Deficiencies were cited under CFR Part 484, Requirements for Home Care Organizations Providing Home Health Care.

All orders recorded in plan of care CFR(s): 484.60(a)(3) All patient care orders, including verbal orders, must be recorded in the plan of care. This ELEMENT is not met as evidenced by: Based on medical record review and interview, the agency failed to include laboratory orders noted on the referral to the plan of care for 1 patient (#7) of 13 patients reviewed. The findings included: Medical record review revealed Patient #7 was admitted to the agency on 8/24/2023 with diagnoses including Type 2 Diabetes Mellitus and Osteomyelitis. Medical record review of the referral dated 8/22/2023 revealed a physician's order to collect a CBC (Complete Blood Count – used to find a large range of conditions), CMP (Comprehensive Metabolic Panel – measures the body fluid balance) and Sed Rate (Erythrocyte Sedimentation Rate – detects inflammation in the body) every week for 6 weeks. Medical record review of the Home Health Certification and Plan of Care (485) dated 8/24/2023 to 10/22/2023 revealed the order for the CBC, CMP and Sed Rate were not added to the physician’s orders. Interview with the Director of Health Care Services on 9/20/2023 at 12:30 PM, in the conference room, confirmed the orders for the CBC, CMP and Sed Rate were not added to the 485.