Deficiency Index

Every finding on record at Legacy Home Health Care Services, LLC

Columbus, Ohio · CCN 368443

2 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 April 9, 2021

2 findings
G0000

Substantial Allegation Survey Substantial Allegation OH00120950 An entrance conference was conducted on 04/07/21 with administrative staff, and an exit conference was completed with the Director of Nursing on 04/09/21. No deficiencies were cited related to the allegation contained in substantial allegation OH00120950 completed on 04/09/21; however, the facility was found not to be in compliance with all requirements for Home Health Agency participation and the following deficiency was cited. Legacy Home Health Care Service, LLC 368443, is not in compliance with the requirements found at 42 CFR Part 484, Subpart B, C for Home Health Agencies.

G0482

Mistreatment, neglect or abuse CFR(s): 484.50(e)(1)(i)(B) (i)(B) Mistreatment, neglect, or verbal, mental, sexual, and physical abuse, including injuries of unknown source, and/or misappropriation of patient property by anyone furnishing services on behalf of the HHA. This ELEMENT is not met as evidenced by: Based on record review and staff interview, the agency failed to investigate a complaint of misappropriation of a patient's property for one of four patients reviewed (Patient #1). The agency census was 70. Findings include: Review of the undated agency policy title, Liability Claims, revealed the investigation procedured included interviews with the parties (clients and employees). Review of the medical record for Patient #1 was completed on 04/09/21. The certification period reviewed was from 03/03/21 to 05/01/21. The physician ordered plan of care for this certification period revealed orders for skilled nursing visits weekly for 60 days and home health aide visits five hours a day for 60 days. Review of the home health aide timesheets revealed Staff C, who was accused of asking for one of the patient's lidocaine patches used for pain relief, provided aide services to the patient. A copy of an incident report regarding misappropriation of property dated 03/26/21 was provided and reviewed. The report revealed a statement by Staff C who denied any unprofessionalism toward the patient or taking anything from the patient. There was no documentation the patient was interviewed regarding the incident. An interview was conducted with Staff A on 04/09/21 at 3:25 PM regarding the incident. Staff A confirmed the agency never spoke with the patient regarding the incident.

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Federal survey findings only. State licensure findings for home health agencies are not shown.

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