A Recertification and Re-Licensure survey entrance conference was conducted on11/13/2024 at 11:10 a.m. with the Agency Alternate Administrator/Alternate Director of Nursing. Census Licensed and Certified: 15 Licensed Home Health: 16 Personal Assistance Services: 0 The agency was in substantial compliance with 42 CFR Part 484.102, Emergency Preparedness Requirements for Home Health Agencies.
Every finding on record at Intouch Home Health Inc
Garland, Texas · CCN 743187
3 findings across 1 survey, in the inspector's own words.
The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.
Survey of November 18, 2024
3 findingsA Recertification and Re Licensure and Complaint # 504765 survey entrance conference was conducted on 11/13/2024 at 11:10 a.m. with the Agency Alternate Administrator/Alternate Director of Nursing. Census Licensed and Certified: 15 Licensed Home Health: 0 Personal Assistance Services: 16 PRN: As The Need Arises EMR: Electronic Medical Record
Visit schedule CFR(s): 484.60(e)(1) Visit schedule, including frequency of visits by HHA personnel and personnel acting on behalf of the HHA. This ELEMENT is not met as evidenced by: Based on record reviews and interviews the agency failed to ensure that patients were provided with a visit schedule in 2 of 3 home visits conducted. Citing Patient # 2and Patient # 5. This failure could prevent the patient and personnel from being aware of the patient's schedule and could cause scheduling conflicts and missed visits leading to poor patient outcomes. Findings: Patient # 2 Review of the EMR for Patient #2 revealed a plan of care with a certification period of 9/15/2024 - 11/13/2024.. Further review of the plan of care revealed orders for the Skilled Nurse to visit 1 time a week for 9 weeks and 2 times a week PRN. A home visit was conducted with Patient #2 on 11/15/2024. During the visit, the surveyor reviewed Patient #2's admission packet. There was no dated or filled out visit schedule in the admission packet and there was no dated or filled out visit schedule anywhere in the patient's immediate surroundings. An interview was conducted with Patient #2 on 11/15/2024 at approximately 11:00 a.m. The surveyor inquired if the agency ever filled out a visit schedule. Patient #2 stated "No." The surveyor inquired how Patient #2 knew when agency staff were going to visit. Patient #2 stated "... He (Nurse) notifies me to let me know..." Patient #5 Review of the EMR for Patient #5 revealed a plan of care with a certification period of 8/24/2024 - 10/22/2024. Further review of the plan of care revealed orders for the Skilled Nurse to visit 1 time a week for 9 weeks and 2 times a week PRN. A home visit was conducted with Patient # 5 on 11/15/2024. During the visit, the surveyor reviewed Patient #5's admission packet. There was no dated or filled out visit schedule in the admission packet and there was no dated or filled out visit schedule anywhere in the patient's immediate surroundings. An interview was conducted with Patient #5 on 11/15/2024 at approximately 12:10 p.m. The surveyor inquired if the agency ever filled out a visit schedule. Patient #5 stated "no." The surveyor inquired how Patient #5 knew when agency staff were going to visit. Patient #5 stated "...They tell me I'll see you next week..." An interview was conducted with the agency's Alternate Administrator/Alternate Director of Nursing on 11/18/2024 at approximately 12:19 p.m. The surveyor inquired as to why there were no filled out schedules in the homes of Patient #2 and Patient #5. The Alternate Administrator/Alternate Director of Nursing stated "...I always tell them when I'm coming...It was an oversight..."The surveyor inquired as to whose responsibility it was to make sure the visit schedules are filled out and placed in the client's home. The Alternate Administrator/Alternate Director of Nursing stated "...Me. I accept 100% responsibility for it...I do most of the admissions..." Review of the agency policy titled "Policy 4.16: Implementing Care And Treatment Page 2 of 3 (Undated)…" read, in part, "...C. The Agency must provide the patient/client and caregiver with a copy of written instructions outlining: 1. Visit schedule, including frequency of visits by Agency personnel and personnel acting on behalf of the Agency..."
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