Every finding on record at Little River Medical Center, Inc.

On 02/26/25 at 8:15 a.m., an entrance conference was conducted with Agency Representatives. The Agency was informed the purpose of the visit was to conduct a Medicare Recertification Survey for the compliance with the Conditions of Participation for Home Health. On 02/27/25 at 3:50 p.m., an exit conference was conducted with Agency Representatives. Preliminary findings were discussed.

Interventions and patient response CFR(s): 484.110(a)(2) All interventions, including medication administration, treatments, and services, and responses to those interventions; This ELEMENT is not met as evidenced by: Based on clinical record review, agency document, and staff interview it was determined that the Agency failed to ensure wound measurements were completed weekly per the agency's policy to monitor the response of the treatments for 2 of 2 (#3 and #4) clinical records reviewed that have wound care treatment orders. This failed practice had the potential to affect all patients on census that had wound care orders. Findings follow: Review of Clinical Record #3 with a start of care date of 11/07/24 revealed a patient with a diagnosis of non-pressure chronic ulcer of the right ankle. As of 2/27/25, the Wound Record Report documented a measurement on 11/07/24 only. Review of Clinical Record #4 with a start of care date of 01/15/25 revealed a patient with a diagnosis of amputation of toe with osteomyelitis. The Wound Record Report document a measurement on 01/15/25 and 02/11/25. On 02/27/25, the Director of Nursing for the agency was asked how often the wounds are to be measured to determine progress and she stated, "weekly." On 02/27/25, a policy titled "Wound Care" documented, "... Assess/Observe the wound/ Measure wound 1xwk [time a week] and document..."