Every finding on record at Lhcg Cxxxvi, LLC

An Emergency Preparedness survey was conducted from 1/19/2022 to 1/21/2022 at Erlanger Continucare Home Health. No deficiencies were cited under CFR Part 484.22 Condition of Participation for Home Health Agencies.

A recertification survey was conducted 1/19/22 to 1/21/22 at Erlanger Continucare Home Health. The facility was found to not be in substantial compliance under CFR Part 484, Requirements for Home Care Organizations Providing Home Health Services.

Conformance with physician orders CFR(s): 484.60(b) Standard: Conformance with physician or allowed practitioner orders. This STANDARD is not met as evidenced by: Based on medical record review and interview, the facility failed to follow physician orders for 2 patients (#5 and #7) of 7 patients reviewed. The findings included: Medical record review showed Patient #5 was admitted to the agency on 11/5/2021 with diagnoses including Fracture of Left Ischium and Multiple Fractures of Ribs. Medical record review of the Home Health Certification and Plan of Care dated 11/5/2021 revealed a physician's order for skilled nursing visits at 1 time a week for 3 weeks to "...monitor pain and instruct/reinforce patient regarding pharmacologic and non-pharmacologic and pain control measures..." Medical record review of the skilled nursing notes for the week of 11/28/2021 (2nd week of certification) revealed no nursing visit completed. Further review revealed the physician was not notified of the missed visit by the skilled nurse. Interview with the Administrator on 1/20/2021 at 9:30 AM confirmed the agency failed to follow physician orders and the physician was not notified of the missed skilled nurse visit. Medical record review revealed Patient #7 was admitted to the agency on 11/27/2021 with diagnoses including Fracture of the Left Tibia and Major Depression. Medical record review revealed a physician's order for physical therapist at 1 time a week for 1 week, 2 times a week for 1 week, 3 times a week for 3 weeks and 2 times a week for 2 weeks. Medical record review of the physical therapist notes for the week of 11/28/2021 revealed no physical therapy visit was completed. Further review revealed the physician was not notified of the 2 missed visits by the physical therapist. Interview with the Administrator on 1/20/2021 at 9:45 AM confirmed the agency failed to follow physician orders and the physician was not notified of the missed physical therapy visits.