Every finding on record at Lifeline Rockcastle Home Health

An on-site Recertification Survey initiated on 03/17/2026 and concluded on 03/19/2026, 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 Survey initiated on 03/17/2026 and concluded on 03/19/2026, resulted in a finding of substantial compliance respective to the applicable Conditions of Participation (CoPs) under 42 CFR 484, Subparts A through C with standard-level deficiencies cited.

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 interview, and facility document review, the facility failed to provide their patients with a written visit schedule for 4 (Patient #4-7) of 4 patients reviewed for visit schedules. The failure had the likelihood for patients to miss their scheduled visit. Findings included: 1. Patient 4’s “Home Health Certification and Plan of Care,” for the certification period 01/29/2026 to 03/29/2026, revealed an order dated 01/29/2026, for skilled physical therapy services to be provided once weekly for one week, twice weekly for one week, and then once weekly for three weeks. The Home Health Certification and Plan of Care also indicated occupational therapy services were ordered to begin on 02/01/2026 at a frequency of once weekly for four weeks. During an interview on 03/17/2026 at 10:30 AM, Patient 4 stated that they did not have a written visit schedule and would coordinate visit schedule via phone with staff. 2. Patient 5’s “Home Health Certification and Plan of Care,” for the certification period 03/02/2026 to 04/30/2026, revealed an order dated 03/02/2026, for skilled nursing services to be provided twice weekly for one week, followed by once weekly for four weeks. The Home Health Certification and Plan of Care further indicated physical therapy services were ordered to begin on 03/15/2026 at a frequency of once weekly for one week. Further review revealed occupational therapy services were also ordered at a frequency of once weekly for one week. During an interview on 03/18/2026 at 12:30 PM, Patient 5 stated that they did not have a written visit schedule and staff would just communicate available times with their family. 3. Patient 6’s “Home Health Certification and Plan of Care,” for the certification period 02/11/2026 to 04/11/2026, revealed an order dated 02/11/2026, for physical therapy services to be provided once weekly for one week, twice weekly for one week, and then once weekly for three weeks. During an interview on 03/18/2026 at 12:38 PM, Patient 6 stated that they did not have a written visit schedule but would coordinate visits with staff by phone and on the prior visit. During an interview on 03/18/2026 at 1:06 PM, the Executive Director stated the agency did not provide patients with written visit schedules. The Executive Director stated that visit frequency and scheduling were discussed during the initial assessment and mutually agreed upon with patients. .