Every finding on record at Lhcg Xcviii, LLC

*EMERGENCY PREPAREDNESS* Survey conducted on 10/31-11/03/2022 revealed the above facility meets all applicable Federal, State and local emergency preparedness requirements. No violations were identified.

* BATESVILLE * The Medicare Recertification survey conducted 10/31-11/03/2022 revealed the above facility was in compliance with the Medicare Conditions of Participation for Home Health Agencies (HHA). However, Standard-level deficiencies were identified. _______________

Discharge and transfer summaries CFR(s): 484.110(a)(6)(i-iii) (i) A completed discharge summary that is sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the HHA (if any) within 5 business days of the patient's discharge; or (ii) A completed transfer summary that is sent within 2 business days of a planned transfer, if the patient's care will be immediately continued in a health care facility; or (iii) A completed transfer summary that is sent within 2 business days of becoming aware of an unplanned transfer, if the patient is still receiving care in a health care facility at the time when the HHA becomes aware of the transfer. This ELEMENT is not met as evidenced by: Based on staff interviews, closed medical record review, and policy/procedure review the facility failed to have a completed discharge summary that is sent to the primary care practitioner within five (5) days of the patient’s discharge for three (3) of five (5) medical records reviewed on four (4) of four (4) days of survey; Patient Medical Records #14, #15, and #17. Findings Include: Interview with Executive Director on 11/02/2022 at 10:20 a.m. confirmed no evidence of a discharge summary on three (3) of five (5) closed medical records reviewed for patients #14, #15, and #17. Review of the closed medical record for patients #14, #15, and #17, revealed no documented evidence of a discharge summary. Review of the facility policy, “Patient Discharge/Transfer Process” policy # 2.1.004 dated 4/15/99 revealed: “…19. A discharge summary including admission and discharge dates, reason for admission to home health, reason for discharge…is sent to the physician or other healthcare professional responsible for care after discharge from the agency within 5 business days of patient’s discharge”. During exit conference on 11/03/2022 at 1:15 p.m., survey findings were discussed. No further documentation was submitted for review.