Every finding on record at Johns Hopkins Home Care Group

A relicensure survey of Johns Hopkins Home Health Services was conducted on June 16 - 25, 2026. After the review of the agency's emergency preparedness program, the agency was found to be in compliance with Conditions of Participation found at 42 CFR (Code of Federal Regulations) Part 484.102.

A relicensure survey was completed at Johns Hopkins Home Health Services, located in Baltimore, Maryland, on June 16 - 25, 2026, to determine if the agency was in compliance with federal requirements for home health agencies. The survey included a review of administrative records and patient documentation. Interviews were conducted with patients, the agency's administrator, and the leadership team. Four home visits were conducted in conjunction with the Home Health Aide, Registered Nurse, and Assistant Director of Nursing. A total of 17 clinical records were reviewed during the survey. This represented the scope of services as follows: Skilled Nursing Services - 13 Home Health Aide - 2 Physical Therapy Services - 15 Occupational Therapy Services - 10 Speech Therapist - 4 The following requirements were found to be out of compliance with Conditions of Participation found at 42 CFR (Code of Federal Regulations) Part 484.

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 clinical record review, it was determined that the agency failed to ensure care was provided in accordance with physician orders by performing wound care without a physician order for 1 of 4 home visit patients reviewed (Patient #15). This deficient practice placed the patient at risk of receiving treatment that was not authorized and may have compromised the coordination and continuity of care. The findings include: A review of the clinical record on June 24, 2026, revealed Patient #15 had a wound for which there was no physician order authorizing wound care. Further review of the clinical record revealed the skilled nurse performed wound care on that wound on June 17, 2026, June 19, 2026, June 22, 2026, and June 24, 2026, without a physician order authorizing the treatment.

Responsibilities of skilled professionals CFR(s): 484.75(b) Standard: Responsibilities of skilled professionals. Skilled professionals must assume responsibility for, but not be restricted to, the following: This STANDARD is not met as evidenced by: Based on home visit observation, it was determined that the agency failed to ensure accepted standards of practice were followed by failing to maintain aseptic technique during wound care for 1 of 4 home visit patients reviewed (Patient #15). This deficient practice placed the patient at risk for wound contamination and infection. The findings include: During a home visit on June 24, 2026, observation revealed the skilled nurse failed to maintain aseptic technique while performing wound care to Patient #15's right lower leg. Specifically: The skilled nurse placed contaminated scissors on a clean barrier during the wound care procedure. After obtaining the patient's vital signs, the skilled nurse placed the stethoscope around her neck. While performing wound care, the stethoscope repeatedly swung toward the wound field. The stethoscope was not disinfected after contact with the nurse's clothing and remained around the nurse's neck until the surveyor's post-observation debriefing. The skilled nurse used a pen for documentation during the procedure. The pen contacted both clean and contaminated surfaces during the wound care procedure. At the completion of the wound care procedure, the skilled nurse used a contaminated disposable underpad (chux) to wipe the contaminated scissors before placing them away.