Every finding on record at Lifeline of Jackson Purchase Home Health

An on-site Recertification Survey initiated on 02/17/2025 and concluded on 02/20/2025, resulted in a finding of no deficiency citations respective to the Emergency Preparedness Program Condition of Participation under 42 CFR 484.102.

An on-site Recertification, and Extended Survey was initiated on 02/17/2025 and concluded on 02/20/2025 with a deficiency identified at §484.70(a) Standard: Prevention, G682. This survey was conducted subsequent to an Abbreviated Survey investigating complaint number KY00033633. There were no deficiencies cited related to KY00033633.

Infection Prevention CFR(s): 484.70(a) Standard: Infection Prevention. The HHA must follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases. This STANDARD is not met as evidenced by: Based on observation and interview, the agency failed to ensure expired indwelling urinary catheters (a closed sterile system tubing used for bladder drainage) were not stored in the agency’s supply room for use. Specifically, 3 of 56 indwelling urinary catheters stored in the agency’s supply room were expired. This failure had the potential for all patients who required indwelling urinary catheters to be at an increased risk for infection and complications. The findings include: During an observation on 02/17/2025 at 3:30 PM of the agency’s supply room, three indwelling urinary catheters were observed to be expired. One catheter had an expiration date of 05/31/2024, and two catheters had an expiration date of 10/31/2024. During a concurrent interview, the Executive Director (ED) stated that agency staff were required to check supplies for expiration dates before utilizing them with patients, however; the agency expectation was there should be no expired supplies in the supply room. The ED confirmed the three catheters were expired. During an interview on 02/20/2025 at 11:59 AM, the ED confirmed that there were 56 indwelling urinary catheters in the supply room on 02/17/2025. The ED stated the agency did not have a policy or procedure that specifically stated expired supplies should not remain in the supply room and be available to staff. The ED said supplies should not remain in the supply room past their expiration dates.