Every finding on record at Interim Healthcare of Columbus, Inc

Substantial Allegation Survey Substantial Allegation 103230 An entrance conference was conducted on 01/17/24 at 8:53 AM with administrative staff. An exit conference was conducted on 01/17/24 at 4:50 PM with administrative staff. No deficiencies were cited related to the allegation contained in substantial allegation 103230 completed on 01/17/24; however, the agency was found not to be in compliance with all requirements for Home Health Agency participation and the following deficiency was cited. Interim Healthcare of Columbus 367164, is not in compliance with the requirements at 42 CFR Part 484, Subpart B, C for 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 medical record review, policy review, and staff interview, the agency failed to ensure each patient received the home health services that are written in the physician ordered plan of care for two of three patients reviewed (Patient #2 and #3). The census was 84. Findings include: Review of the undated agency policy titled, "Variances from the Plan of Care," revealed if alternate means cannot be identified and the patient will be put at risk by not filling the visit requirement, then the agency notifies all parties including the ordering physician. A visit/shift variance report is completed by the agency for each missed visit. 1. Review of Patient #2's medical record and physician ordered plan of care dated 12/04/23 revealed orders for home health aide (HHA) services three days per week from 12/09/23 to 01/26/24. Review of the HHA visit sheets from 12/09/23 to 12/29/23 revealed the HHA missed one visit the week of 12/09/23 and missed three visits the week of 12/30/23. There was no documentation the physician was notified that services were not provided as ordered. Interview on 01/17/24 at 4:00 PM with Staff F confirmed this finding. 2. Review of Patient #3's medical record and physician ordered plan of care for the certification period dated 09/17/23 to 11/15/23 revealed orders for skilled nursing services three days per week. Review of the skilled nurse visit sheets from 09/12/23 to 10/18/23 revealed no visits for the week of 10/21/23 to 10/27/23, the week of 11/04/23 to 11/10/23 there were two missed visits, and the week of 11/11/23 to 11/17/23 was missing two visits. There was no documentation the physician was notified that services were not provided as ordered. Interview on 01/17/24 at 12:33 PM with Staff C confirmed the missing visits and that the physician had not been notified of the missed visits.