Every finding on record at Koc Healthcare Services Inc

A re-licensure, re-certification survey was conducted on 7/31/2023. The census was Licensed and Certified: 2, Licensed Home Health Services: 0, Personal Assistance Services: 0. The agency is in substantial compliance with 42 Code of Federal Regulations Part 484, Conditions of Participation.

A re-licensure, re-certification survey was conducted on 7/31/2023. The census was Licensed and Certified: 2, Licensed Home Health Services: 0, Personal Assistance Services: 0 .

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 review and interviews the agency failed to provide a visit schedule, including frequency of visits by the home health agency personnel in 1 of 1 home visits conducted. Citing Patient # 1. This failure could potentially cause the patient to not receive the care that is consistent with the most current plan of care. On 7/31/2023 a home visit was conducted with Patient #1. Review of Patient #1's home folder did not contain a visit schedule. Nor was there a visit schedule visible in the area of the home where the visit took place. An interview was conducted with the agency's Administrator/Director of Nursing on 7/31/2023 at approximately 10:15 a.m. The surveyor inquired as to why there was no visit schedule in the home folder of Client #1. The Administrator/Director of Nursing stated "...because sometimes the schedule changes. It depends on the client..." Review of the agency's policy and procedures manual did not reveal a policy regarding a visit schedule.

Onsite supervisory visit every 14 days CFR(s): 484.80(h)(1)(i) If home health aide services are provided to a patient who is receiving skilled nursing, physical or occupational therapy, or speech-language pathology services, a registered nurse or other appropriate skilled professional who is familiar with the patient, the patient's plan of care, and the written patient care instructions described in §484.80(g), must make an onsite visit to the patient's home no less frequently than every 14 days. The home health aide does not have to be present during this visit. This ELEMENT is not met as evidenced by: Based on record review and interview the agency failed to provide in person home health aide supervisory visits every 14 days in 1 of 4 patient records reviewed. Citing Patient #1. This failure could prevent the patient from receiving the care ordered in the Plan of Care. Review of Patient #1's medical record revealed a Plan of Care with a Start of Care date of 4/20/2023 and a Certification Period of 4/20/2023 - 6/4/2023. Review of this Plan of Care had an order for a home health aide to care for the patient 2 times a week for a period of 9 weeks. Further review of the medical records revealed that the home health aide was following the orders of visiting the patient 2 times a week. Further review of the medical record did not reveal any in person supervisory visits every 14 days to assess the care the patient was receiving from the home health aide. An interview was conducted with the agency's Administrator/Director of Nursing on 7/31/2023 at approximately 11:35 a.m. The surveyor inquired as to why there were no in person supervisory visits done to assess the care the home health aide was providing to Patient #1. The Administrator/Director of Nursing stated "...I thought they could be done over the phone..." Review of the agency's policy titled "...EMPLOYEE SUPERVISION HR.11 Page 1 of 2 Revised 021606..." read, in part "...POLICY...Agency will provide timely supervision of the following employees by qualified individuals: Home Health Aides By a registered nurse every two (2) weeks when skilled nursing or physical, speech, or occupational therapy is performed in addition to home health aide services..." Nowhere in the policy did it state that the supervisory visits should be in person.