Every finding on record at Lmr Indiana Home Health Inc

An Emergency Preparedness Survey was conducted by the Indiana Department of Health in accordance with 42 CFR §484.102 Survey Dates : May 20, May 21, and 22, 2025 Active Census: 73 At this Emergency Preparedness survey, LMR Indiana Home Health INC, was found to be in compliance with Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers, 42 CFR §484.102.

This visit was for a Federal Recertification and State Re-Licensure survey of a home health provider. Survey Dates: May 19, 20, 21, and 22, 2025 Unduplicated 12 month skilled admissions: 190 A partially extended survey was announced to the Administrator on 05/20/2025 at 5:03 PM. An extended survey was announced to the Administrator on 05/22/2025 at 12:50 PM. This deficiency report reflects State Findings cited in accordance with 410 IAC 17. Refer to State Form for additional State Findings. During this Federal Recertification Survey, LMR Indiana Home Care, Inc. was found to be out of compliance with Condition of Participation 42 CFR 484.60 Care planning, coordination of services, and quality of care. Based on the Condition-level deficiencies during the 05/22/2025 survey, your agency was subject to an extended survey pursuant to section 1891(c)(2)(D) of the Social Security Act on 05/22/2025. Therefore, and pursuant to section 1891(a)(3)(D)(iii) of the Act, your agency is precluded from operating a home health aide training, skills competency and/or competency evaluation programs for a period of two years beginning 05/22/2025 and continuing through 05/21/2027. Abbreviations used in report: Home Health Aide [HHA], Clinical Supervisor [CS], Registered Nurse [RN], Plan of Care [POC], Start of Care [SOC], Occupational Therapist [OT], Skilled Nurse [SN], and Physical Therapist [PT]. QR: A1 5/29/2025

RN performs assessment CFR(s): 484.55(a)(1) A registered nurse must conduct an initial assessment visit to determine the immediate care and support needs of the patient; and, for Medicare patients, to determine eligibility for the Medicare home health benefit, including homebound status. The initial assessment visit must be held either within 48 hours of referral, or within 48 hours of the patient's return home, or on the physician or allowed practitioner - ordered start of care date. This ELEMENT is not met as evidenced by: Based on record review and interview, the agency failed to conduct the initial assessment within 48 hours from the referral in 2 of 5 active clinical records reviewed. (Patient #1, 2) The findings include: 1. A clinical record review for Patient #1 evidenced the referral for home health from Entity 2 dated 04/11/2025. The SOC comprehensive assessment indicated the referral date and the Patient’s discharge date from Entity 2 were 04/11/2025 and indicated the date of the assessment was 04/14/2025. A communication note dated 04/14/2025 completed by the CM indicated the Patient requested a SOC on 04/14/2025 and indicated the physician was notified of the delay in the SOC. On 05/22/2025, at 11:25 AM, the CM indicated there was no other documentation prior to 04/14/2025 regarding the delay in the SOC. 2. A clinical record review for Patient #2 evidenced the referral for home health from Entity 2 dated 05/16/2025. The SOC comprehensive assessment indicated the referral date and the Patient’s discharge date from Entity 2 were 05/16/2025 and indicated the date of the assessment was 05/19/2025. A communication note dated 05/19/2025 completed by the CM indicated a delay in the SOC due to a scheduling issue. On 05/22/2025, at 11:53 AM, the CM indicated the initial visit was scheduled for 05/17/2025, but the agency had the wrong address for the Patient and by the time the correct address was identified, the SN was no longer available to complete the initial assessment and was not available on 05/18/2025. 3. On 05/19/2025, beginning at 3:20 PM, the CM indicated the initial visit assessment was conducted at the same time as the SOC comprehensive assessment.

Health, psychosocial, functional, cognition CFR(s): 484.55(c)(1) Standard: Content of the comprehensive assessment. The comprehensive assessment must accurately reflect the patient's status, and must include, at a minimum, the following information: (1) The patient's current health, psychosocial, functional, and cognitive status; This ELEMENT is not met as evidenced by: Based on record review and interview, the agency failed to ensure the comprehensive assessment included the current health and functional status in 1 of 2 active clinical records reviewed with a SOC within 45 days of survey (Patient #1). The findings include: 1. A policy titled “Pain Assessment and Reassessment” revised February 2024 indicated the pain assessment will include the location, intensity, duration, and character of the pain. 2. A clinical record review for Patient #1 evidenced a SOC comprehensive assessment dated 04/14/2025 which indicated the Patient was diabetic (a chronic disease that affects the blood sugar) and indicated the parameters for when the Patient was to notify the physician for high or low blood sugar. The comprehensive assessment failed to include the frequency of blood sugar checks. The comprehensive assessment indicated the Patient had pain occasionally that affected sleep, therapy activities, and day-to-day activities and failed to include the location, intensity, and character of the pain. On 05/22/2025, at 11:33 AM, the CM indicated the comprehensive assessment did not include the complete pain assessment and the frequency of the blood sugar checks. 410 IAC 17-14-1(a)(1)(A)

Primary caregiver(s), if any CFR(s): 484.55(c)(6)(i,ii) The patient's primary caregiver(s), if any, and other available supports, including their: (i) Willingness and ability to provide care, and (ii) Availability and schedules; This ELEMENT is not met as evidenced by: Based on record review and interview, the agency failed to ensure the comprehensive assessment included the caregiver’s ability, availability, and willingness to provide care in 1 of 2 active clinical records reviewed which indicated the patient resided with a caregiver and day 5 of the comprehensive assessment had passed. (Patient #1) The findings include: Clinical record review for Patient #1 evidenced a SOC comprehensive assessment dated 04/14/2025 which indicated the Patient had a pressure ulcer (wounds to the skin and underlying tissue resulting from prolonged pressure to the skin) Stage III (an open pressure ulcer with full thickness loss of skin) to the sacrum (lower back). The POC for the initial certification period 04/14/2025-06/12/2025 indicated the Patient required wound care 3 times a week, and the agency would provide SN services 2 times a week for 4 weeks and then 1 time a week for 4 weeks. The comprehensive assessment indicated the Patient required assistance for personal care, feeding, and medication administration and indicated the Patient was incontinent of bladder and was a diabetic (having a chronic disease affecting blood sugar) requiring blood sugar monitoring. The comprehensive assessment indicated the Patient lived with someone around the clock but failed to include the assessment of the caregiver’s ability, availability, and willingness to provide wound care, blood sugar monitoring, medication administration, and personal care. On 05/22/2025, at 11:36 AM, the CM indicated the comprehensive assessment did not indicate who was providing wound care in the absence of the SN and did not specifically indicate if the caregiver was willing and able to provide personal care, blood sugar checks, and medication administration.

Care planning, coordination, quality of care CFR(s): 484.60 Condition of participation: Care planning, coordination of services, and quality of care. Patients are accepted for treatment on the reasonable expectation that an HHA can meet the patient's medical, nursing, rehabilitative, and social needs in his or her place of residence. Each patient must receive an individualized written plan of care, including any revisions or additions. The individualized plan of care must specify the care and services necessary to meet the patient-specific needs as identified in the comprehensive assessment, including identification of the responsible discipline(s), and the measurable outcomes that the HHA anticipates will occur as a result of implementing and coordinating the plan of care. The individualized plan of care must also specify the patient and caregiver education and training. Services must be furnished in accordance with accepted standards of practice. This CONDITION is not met as evidenced by: Based on record review and interview, the home health agency failed to ensure: the patient’s needs were met (See tag G0570); services were provided per the plan of care (See tag G0572); the plan of care included all required information / elements for the treatment of the patient (See tag G0574); services were provided only as ordered by a physician (See tag G0580); verbal orders were written and authenticated (See tag G0584); physicians were promptly notified of a change in the patient's condition (See tag G0590); communication with all physicians involved in the plan of care (See tag G0602); and coordination of care for all services provided to the patient (See tag G0606). The cumulative effect of these systemic problems has resulted in the home health agency inability to ensure provision of quality health care in a safe environment for the condition of participation 42CFR 484.60 Care Planning, Coordination of Care and Quality of Care. A deficient practice citation was also evidenced at this standard as follows: Based on observation, record review, and interview, the agency failed to meet the needs of the patients in 2 of 5 active clinical records reviewed (Patient #2, 5) and in 2 of 2 closed clinical records reviewed (Patient 6, 7). The findings include: 1. A revised policy, dated February 2024, titled, “Coordination of Patient Care,” indicated the agency must integrate services whether services are provided directly or under arrangement, to assure the identification of patient needs and factors that could affect patient safety and treatment effectiveness and provide coordination of care by all disciplines. 2. A revised policy, dated February 2024, titled, “Care Planning Process,” indicated the plan of care would demonstrate problems and interventions through physician orders, and all patient care orders, including verbal orders, would be recorded in the plan of care. 3. A Comprehensive Assessment, dated 03/08/2025, indicated Patient #5 had a diagnosis of a cerebral vascular accident [CVA] (stroke) with hemiplegia (one side of the body paralysis or weakness) affecting the left nondominated side. The comprehensive assessment indicated Patient required someone to assist the patient to put on undergarments, slacks, socks, and shoes, the patient was able to participate in bathing self in shower or tub but required presence of another person throughout the bath for assistance or supervision, someone must help the patient to maintain toileting hygiene or adjust clothing, the patient was able to bear weight and pivot during the transfer process but unable to transfer self, the patient was unable to feed themselves and would require assistance or supervision throughout the meal, required partial/moderate assistance for oral hygiene, toileting hygiene, and substantial/maximal assistance for shower/bath. A Face to Face Encounter dated 03/14/2025, indicated physician signing was the plan of care certifying physician and based on the clinical findings the patient required home services of occupational therapy. A clinical record review, on 05/21/2025, failed to evidence Patient received occupational therapy. During an interview, on 05/22/2025, beginning at 1:00 PM, the Administrator indicated Patient did not receive occupational therapy and Patient was ordered to have occupational therapy. An order from physician 4, dated 03/07/2025, indicated Patient may be discharged to entity, 1, a nursing facility with home health services. A clinical record review on 05/22/2025, failed to evidence the agency offered a home health aide to Patient. During an interview, on 05/21/2025, beginning at 4:20 PM, Registered Nurse [RN] 2 indicated a home health aide was not offered to Patient due to Patient resided in an assisted living facility that provided care and the assisted living facility would provide care besides giving a bath such as assisting Patient to bed. During an interview, on 05/22/2025, beginning at 1:00 PM, entity 1, a nursing facility indicated Patient resided in the independent living facility and had a service agreement to pay for extra care which included showers 2 times per week, AM and PM dressing and grooming, and incontinent care one time per day. 410 IAC 17-13-1(a) Based on record review and interview, the home health agency failed to ensure: the patient’s needs were met (See tag G0570); services were provided per the plan of care (See tag G0572); the plan of care included all required information / elements for the treatment of the patient (See tag G0574); services were provided only as ordered by a physician (See tag G0580); verbal orders were written and authenticated (See tag G0584); physicians were promptly notified of a change in the patient's condition (See tag G0590); communication with all physicians involved in the plan of care (See tag G0602); and coordination of care for all services provided to the patient (See tag G0606). The cumulative effect of these systemic problems has resulted in the home health agency inability to ensure provision of quality health care in a safe environment for the condition of participation 42CFR 484.60 Care Planning, Coordination of Care and Quality of Care. A deficient practice citation was also evidenced at this standard as follows: Based on observation, record review, and interview, the agency failed to meet the needs of the patients in 1 of 5 active clinical records reviewed (Patient #2) and in 2 of 2 closed clinical records reviewed (Patient 6, 7). The findings include: 1. A clinical record review for Patient #2 evidenced a SOC comprehensive assessment dated 05/19/2025 which indicated the Patient required assistance with personal care, activities of daily living (ADLs), and feeding and lived at home with a caregiver. The record failed to identify if the caregiver was willing and able to provide the required care and failed to evidence the agency inquired if the Patient would be interested in HHA services to assist with care. During an observation of care at the Patient’s home on 05/20/2025, beginning at 11:53 AM with the PT, the Patient was observed requiring assistance with sit-to-stand transfers, ambulation with short distances, and wheelchair mobility. On 05/20/2025, at 2:28 PM, the Patient’s caregiver indicated they were 71 years old, had open heart surgery, and indicated it was physically taxing to provide personal care and assist with ADLs. The Patient’s caregiver indicated the CM informed the Patient the agency would be providing a HHA to assist “in a week or so.” At the entrance conference on 05/19/2025, beginning at 3:20 PM, the CM indicated the agency provided HHA services but currently had no HHA and did not have a contract with another agency to provide HHA services. The CM indicated the agency was trying to hire HHAs to provide HHA services. On 05/21/2025, at 9:40 AM, the CM indicated the last date the agency provided HHA services was in December 2023 and had no employed HHA since then. On 05/20/2025, at 3:30 PM, the CM indicated she did inform the Patient’s caregiver the agency would be able to provide a HHA soon and indicated she thought the agency would have a HHA hired and ready to staff the Patient in a couple of weeks. The CM indicated she did not refer the Patient to another agency that could provide a HHA immediately. 2. A clinical record review for Patient #6 evidenced a SOC order dated 03/31/2025 signed by the physician and the POC for the initial certification period 03/31/2025-05/29/2025 which indicated the home health services were to include OT services. The discharge comprehensive assessment dated 04/24/2025 indicated the Patient required assistance with personal care to include dressing, grooming, bathing, and toilet hygiene. The clinical record failed to evidence the agency provided OT services. On 05/22/2025, at 12:22 PM, the CM indicated she was unsure why OT services were not provided and indicated there was no documentation regarding why OT services were not provided. 3. A clinical record review for Patient #7 evidenced a SOC order dated 03/26/2025 signed by the physician which indicated the home health services were to include OT, and a POC for the initial certification period 03/26/2025-05/24/2025 indicated the services the agency was to provide included ST services. The Face to Face signed by the physician and dated 04/03/2025 indicated OT and HHA services were medically necessary and were to be provided by the home health agency. The SOC comprehensive assessment dated 03/26/2025 indicated the Patient had a recent hospitalization for aspiration-related pneumonia (when difficulty swallowing causes food/fluid to be inhaled into the lungs) and had a gastrostomy tube (feeding tube) inserted due to aspirating when eating. The SOC comprehensive assessment indicated ST was to evaluate and treat, but the clinical record failed to evidence ST services were provided. The DC comprehensive assessment dated 04/23/2025 indicated the Patient required assistance for personal care to include grooming, dressing, and bathing. The clinical record failed to evidence the agency provided OT and HHA services. On 05/22/2025, beginning at 12:39 PM, the CM indicated the agency did not provide OT, ST, and HHA services, and there was no documentation on why the services weren’t provided. 410 IAC 17-13-1(a)

Plan of care CFR(s): 484.60(a)(1) Each patient must receive the home health services that are written in an individualized plan of care that identifies patient-specific measurable outcomes and goals, and which is established, periodically reviewed, and signed by a doctor of medicine, osteopathy, or podiatry acting within the scope of his or her state license, certification, or registration. If a physician or allowed practitioner refers a patient under a plan of care that cannot be completed until after an evaluation visit, the physician or allowed practitioner is consulted to approve additions or modifications to the original plan. This STANDARD is not met as evidenced by: Based on record review and interview, the agency failed to ensure the POC was developed in conjunction with the physician and the services were provided as ordered by the physician and in the POC in 2 of 4 active clinical records reviewed which received skilled services for more than 6 days. (Patient #1 and 5) The findings include: 1. A clinical record review for Patient #1 evidenced a SOC comprehensive assessment completed by RN 1 dated 04/14/2025 which failed to evidence the RN coordinated care and reviewed the POC with the physician, and the clinical record failed to evidence documentation the POC was reviewed with the physician. The POC for the initial certification period 04/14/2025-06/12/2025 signed by RN 1 was not yet signed by the physician, and the activity tracking for the electronic health record indicated the POC had not yet been sent to the physician. The POC indicated the primary diagnosis was chronic and acute respiratory failure and indicated the Patient received oxygen continuously at 3 liters per minute (lpm). The POC indicated the SN was to assess the respiratory status and administer oxygen at 3 lpm continuously. The SN visit notes completed by LPN 1 dated 04/18/2025, 04/21/2024, 04/25/2025, and 05/11/2025 indicated the Patient was on room air and failed to indicate the SN provided the services per the POC to include administration of oxygen at 3 lpm. On 05/22/2025, beginning at 11:29 AM, the CM indicated there was a delay in sending the POC to the physician due to quality assurance (QA), the SOC comprehensive assessment did not indicate the RN discussed the POC with the physician, and there was no documentation the agency discussed the POC with the physician. The CM indicated the oxygen administration was not included on the SN visit notes by LPN 1 for the dates listed above. 2. A clinical record review for Patient #2 evidenced a SOC comprehensive assessment completed by RN 1 dated 05/19/2025 which failed to evidence the RN coordinated care and reviewed the POC with the physician, and the clinical record failed to evidence documentation the POC was reviewed with the physician. The POC for the initial certification period 05/19/2025-07/17/2025 signed by RN 1 was not yet signed by the physician. On 05/22/2025, at 10:49 AM, RN 1 indicated the physician responsible for the POC was on vacation and had not yet talked to the physician on-call. On 05/22/2025, at 12:03 PM, the CM indicated she had spoken to the physician on-call on 05/21/2025 but only discussed the drug interactions and not the POC. 3. On 05/22/2025, beginning at 10:49 AM, RN 1 indicated 9 out of 10 times, she did not speak to the physician responsible for the POC and would leave a message regarding the SOC. RN 1 indicated usually the POC was signed and returned by the physician before ever hearing back from the physician. 410 IAC 17-13-1(a) 1. A revised policy, dated February 2024, titled, “Plan of Care-CMS #485 and Physician/Practitioners Orders,” indicated if the agency missed a visit or a treatment as required by the plan of care, which results in any potential for clinical impact upon the patient, then the agency must notify the responsible physician of such missed treatment or service. 2. A Plan of Care, for certification period 05/07/2025 to 07/05/2025, for Patient #5 indicated skilled nursing visits 1 time per week. A Clinical record review failed to evidence a skilled nurse visit for the week of 04/27/2025 to 05/04/2025. The clinical record failed to evidence the physician was notified or the missed visit was rescheduled. The clinical record indicated a skilled nursing visit on 04/17/2025 and the next skilled nursing visit was on 05/05/2025. The Plan of Care indicated the skilled nurse was to perform pressure ulcer care to the left heel due to Patient was unable to reach foot to change the dressing and Patient had no other reliable caregivers available. During an interview, on 05/22/2025, beginning at 1:00 PM, the Administrator, Administrative Staff 1 indicated there was a missed skilled nurse’s visit the week of 04/27/2025, indicated the agency’s work week was scheduled Sunday to Saturday and the clinical record did not contain documentation of the reason for the missed skilled nurse visit. 410 IAC 17-13-1(a)

Plan of care must include the following CFR(s): 484.60(a)(2)(i-xvi) The individualized plan of care must include the following: (i) All pertinent diagnoses; (ii) The patient's mental, psychosocial, and cognitive status; (iii) The types of services, supplies, and equipment required; (iv) The frequency and duration of visits to be made; (v) Prognosis; (vi) Rehabilitation potential; (vii) Functional limitations; (viii) Activities permitted; (ix) Nutritional requirements; (x) All medications and treatments; (xi) Safety measures to protect against injury; (xii) A description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors. (xiii) Patient and caregiver education and training to facilitate timely discharge; (xiv) Patient-specific interventions and education; measurable outcomes and goals identified by the HHA and the patient; (xv) Information related to any advanced directives; and (xvi) Any additional items the HHA or physician or allowed practitioner may choose to include. This ELEMENT is not met as evidenced by: Based on observation, record review, and interview, the agency failed to ensure the plan of care included all patients’ medications and treatments in 4 of 4 active clinical records reviewed receiving skilled services for more than 6 days (Patient # 1, 3, 4, and 5). Findings include: And 2 of 2 closed clinical records reviewed (Patient #6, 7) 1. A clinical record review for Patient #1 evidenced a SOC comprehensive assessment dated 04/14/2025 which indicated the Patient had a pressure ulcer (wounds to the skin and underlying tissue resulting from prolonged pressure to the skin) Stage III (an open pressure ulcer with full thickness loss of skin) to the sacrum (lower back). The SOC comprehensive assessment indicated the Patient had a diagnosis of diabetes (a chronic disease that affects the blood sugar). The POC for the initial certification period 04/14/2025-06/12/2025 indicated the Patient required wound care 3 times a week, and the agency would provide SN services 2 times a week for 4 weeks and then 1 time a week for 4 weeks. The POC failed to include who would provide the wound care in the absence of the SN. The POC indicated the Patient had blood sugar parameters of when to notify the physician and failed to include the frequency of the blood sugar checks. On 05/22/2025, beginning at 10:49 AM, RN 1 indicated Person 3 (nurse practitioner) provided wound care 1 time per week to the Patient in the Patient’s home. The POC failed to include the services provided by Person 3. On 05/22/2025, beginning at 11:33 AM, the CM indicated the POC did not include the frequency of the blood sugar checks, who would provide the wound care in absence of the SN, and the services to be provided by Person 3. 2. A clinical record review for Patient #2 evidenced a POC for the initial certification period of 05/19/2025-7/17/2025 which indicated the Patient was diabetic and indicated the parameters for when the agency was to notify the physician for high or low blood sugar. The POC failed to include the frequency of the blood sugar checks. On 05/22/2025, beginning at 11:56 AM, the CM indicated the POC did not include the frequency of the blood sugar checks. 3. A clinical record review for Patient #3 evidenced a SOC comprehensive assessment completed by RN 2 dated 03/01/2025 which indicated the Patient’s weight was 146 pounds, indicated the Patient was diagnosed with failure to thrive, and the Patient had weight loss and a poor appetite. The comprehensive assessment for recertification completed by RN 2 dated 04/25/2025 indicated the Patient’s weight was 138 pounds and indicated the Patient had weight loss and a poor appetite. The SN visit note dated 05/15/2025 indicated the Patient weighed 129 pounds. During an observation of care on 05/21/2025, at 11:25 AM, RN 2 weighed the Patient and indicated the Patient’s weight was 126 pounds which was a loss of 3 pounds in 1 week. RN 2 educated the Patient on taking nutrition supplement shakes daily. RN 2 confirmed the Patient was still receiving housekeeping services paid for privately which the Patient confirmed. The POC for the initial certification period 03/01/2025-04/29/2025 and the POC for the recertification period 04/30/2025-06/28/2025 failed to evidence the SN interventions included obtaining the Patient’s weight and providing education on the administration of nutrition supplement shakes. The POC failed to evidence there were any services provided by any other agency in the home. On 05/22/2025, beginning at 12:13 PM, the CM indicated the POC did not include obtaining the Patient’s weight, providing education to the use of nutrition supplement shakes, and the services provided by Entity 7. On 5/21/2025, at 5:41 PM, the Patient indicated they received services from Entity 7 for housekeeping and personal care services. On 5/22/2025, at 9:52 AM, Person 8 at Entity 7 indicated Entity 7 provided services to the patient for 4 hours 1 time a week to include assistance with showering, personal care, meal preparation, and light housekeeping. 4. A clinical record review for Patient #6 evidenced a POC for the initial certification period 03/31/2025-05/29/2025 which indicated the agency was to provide PT services to evaluate and treat and failed to evidence PT goals. The PT POC dated 04/02/2025 for the initial certification period 03/31/2025-04/24/2025 failed to evidence the PT goals. On 05/22/2025, at 12:22 PM, the CM indicated there were no PT goals on the POC. 5. A clinical record review for Patient #7 evidenced a POC for the initial certification period 03/26/2025-05/24/2025 which indicated the agency was to provide PT services to evaluate and treat and failed to evidence PT goals. The PT POC dated 03/28/2025 for the initial certification period 03/31/2025-04/24/2025 failed to evidence the PT goals. On 05/22/2025, beginning at 12:39 PM, the CM indicated the POC did not include PT goals. 1. A revised policy, dated February 2024, titled, “Care Planning Process,” indicated the care planning for each patient would be individualized to include specific care or services to be provided including frequency, type, and duration. 2. A revised policy, dated February 2024, titled, “Plan of Care -CMS #485 and Physician/Practitioners Orders,” indicated the individualized plan of care would specify the care and services necessary to meet the patient-specific needs as identified in the comprehensive assessment. The policy indicated the individualized plan of care would include the following: types of services, supplies and equipment required, all medications and treatments. 3. A revised policy, dated February 2024, titled, “Medication Profile,” indicated the admitting registered nurse [RN] would check all medications a patient was taking and document on the medication profile and would include all prescribed medications, and over the counter medications. The policy indicated the nurse would add new or changed medications to the medication profile and the medication profile would be reviewed at every home visit and updated as changes occurred. 4. A Plan of Care, for certification period, 05/09/2025 to 07/07/2025, indicated Patient #4’s diagnosis was congestive heart failure (weakness of the heart), cellulitis (inflammation of connective tissue), and type 2 diabetes mellitus (condition that affects the way the body metabolizes sugar). During a home visit observation, on 05/21/2025, beginning at 12:15 PM, Patient #4 indicated he/she checked her blood sugar one time per week. The Plan of Care failed to evidence an order for blood sugar monitoring. During an interview, on 05/21/2025, beginning at 4:00 PM, the Administrator, Administrative Staff #1, indicated the plan of care should include interventions for blood sugar monitoring. The Administrator indicated the type 2 diabetes mellitus diagnosis should include interventions on the plan of care. A Plan of Care, for certification period, 05/09/2025 to 07/07/2025, indicated Patient #4’s medication were atorvastatin (cholesterol medication) 20 milligrams (mg) one tablet daily, cholestyramine (cholesterol medication) 5 grams twice daily, folic acid 1 mg daily, Lasix (diuretic) 20mg one tablet daily, gabapentin (neupathic pain medication) 100 mg 2 tablets at night, hydralazine (blood pressure medication) 50 mg one tablet three times a day, leflunomide (arthritis medication) 10 mg one tablet daily, pantoprazole (reduces stomach acid) 50mg one tablet daily, potassium chloride 20 milliequivalents daily, prednisone 20mg (anti-inflammatory steroid medication) one tablet daily, psyllium (dietary fiber) one packet daily, accupril (blood pressure medication) 10 mg one tablet daily, and Zoloft (antidepressant medication) 50 mg one tablet daily. During an observation of a home visit, on 05/21/2025, beginning at 12:15 PM, Patient #4 indicated an entity 2, a skilled nursing facility, medication list was the correct medication list that Patient had been taking since discharge from entity 2 on 05/07/2025. An Entity 2, medication list indicated Patient’s medications included but not limited to ascorbic acid (vitamin C) 250 mg one tablet daily, ergocalciferol (vitamin D) 1.25 mg one tablet weekly, Lasix 40 mg one tablet daily, gabapentin 100 mg one tablet at night, hydralazine 25mg and hydralazine 50mg to equal 75mg three times per daily, losartan (blood pressure medication) 50 mg one tablet twice a daily, prednisone 20mg 3 tablets daily, Tylenol extra strength 500 mg one tablet every 6 hours as needed for pain. The Plan of Care medication list failed to include the ascorbic acid, ergocalciferol, Lasix dose of 40 mg one tablet daily, gabapentin dose of 100 mg one tablet at night, hydralazine dose of 75mg three times a daily, losartan 50 mg one tablet twice a day, prednisone dose of 20mg 3 tablets daily, and Tylenol extra strength. During a home visit observation on 05/21/2025, beginning at 12:15 PM, Patient #4 indicated he/she took Tylenol arthritis as needed, was taking prednisone 20mg 3 tablets daily, and losartan 50g one tablet twice a daily since was in entity 2. During an interview on 05/21/2025, Registered Nurse [RN] 1 indicated the plan of care medications for Lasix, hydralazine and prednisone were not as the patient was prescribed and the losartan was not on the plan of care mediation list and should have been. RN 1 indicated medications should have been reconciled at every skilled nursing visit with Patient. A Plan of Care, for certification period 05/09/2025 to 07/07/2025, indicated skilled nurse to perform wound care to arterial ulcer to top of right foot by cleaning wound with normal saline or wound wash, pat dry with gauze, apply hydrafera blue to wound bed and secure with dry dressing and the skilled nurse may teach patient/caregiver to perform wound care. The Plan of Care failed to include frequency of dressing change to right foot. During a home visit observation on 05/21/2025, beginning at 12:15 PM, Patient #4 indicated he/she changed the dressing to the right foot one time per week, the doctor changed the dressing to the right foot one time per week and the home health nurse changed the dressing to the right foot one time per week. During an interview, on 05/21/2025, beginning at 4:00 PM, the Administrator indicated the wound care dressing change frequency should be included on the plan of care. 5. A Plan of Care, for certification period 03/08/2025 to 05/06/2025, for Patient #5, indicated skilled nursing to perform pressure ulcer care to left heel to include cleaning the wound with saline, apply iodosorb then alginate, and cover with adhesive foam. The Plan of Care failed to include the frequency of the dressing change. A Plan of Care, for certification period 05/07/2025 to 07/05/2025, indicated skilled nursing to perform pressure ulcer care to left outer heel to include cleaning the wound with saline, apply iodosorb then alginate, and cover with adhesive foam. The Plan of Care indicated skilled nursing would assess neurological status, instruct on disease process, medication review and management, injury prevention and provide skilled assessment. The Plan of Care failed to include the frequency of the dressing change. During an interview, on 05/21/2025, beginning at 4:20 PM, Registered Nurse [RN] 2 indicated the skilled nursing visits were the schedule for the dressing changes to be completed. 410 IAC 17-13-1(a)(1)(D)(ix)

Only as ordered by a physician CFR(s): 484.60(b)(1) Drugs, services, and treatments are administered only as ordered by a physician or allowed practitioner. This ELEMENT is not met as evidenced by: Based on observation, record review, and interview, the agency failed to ensure that services and treatments were administered only as ordered per a physician in 2 of 4 active clinical records reviewed with a patient wound (Patient #2, 5). Findings include: Based on observation, record review, and interview, the agency failed to ensure services were provided only as ordered by a physician in 1 of 1 active clinical record reviewed with Person 5 as the physician responsible for the POC. (Patient #2) The findings include: A clinical record review for Patient #2 evidenced a document titled “Physician Order” signed by RN 1 dated 05/19/2025 which indicated the order was from the physician responsible for the plan of care. The document was not signed by the physician. The document indicated the agency was to admit the Patient to home care services and provide SN services 1 time a week for 9 weeks and PT and OT to evaluate and treat. The SOC comprehensive assessment indicated RN 1 completed a full head-to-toe assessment and completed wound care to the right foot on 05/19/2025. PT 1 was observed providing treatment to include strengthening exercises to the lower extremities, ambulation with a walker, and transferring assistance at the Patient’s home on 05/20/2025 beginning at 2:02 PM. On 05/22/2025, at 10:49 AM, RN 1 indicated Person 5, the physician responsible for the POC, was on vacation, and she had not had any communication with Person 5. RN 1 indicated the SOC order was written as a standard order that gets sent to the physician at SOC. On 05/22/2025, at 12:03 PM, the CM indicated Person 5 was on vacation and on 05/21/2025 she spoke to the physician on-call but not before the SOC assessment and wound care on 05/19/2025 and the PT evaluation and treatment on 05/20/2025, and the CM indicated the communication with the on-call physician was for the notification of the drug interactions and not the SOC orders. 1. A revised policy, dated February 2024, titled, “Plan of Care – CMS #485 and Physician/Practitioners Orders,” indicated care and services provided would be provided according to physician orders. 2. A Plan of Care, for certification period 03/08/2025 to 05/06/2025, indicated skilled nursing visits 1 time a week for 1 week, then 2 times per week for 4 weeks and then 1 time a week for 4 weeks. The Plan of Care indicated skilled nursing was to perform pressure ulcer care to the left outer heel. A Plan of Care, for certification period 05/07/2025 to 07/05/2025, indicated skilled nursing visits 1 time a week for 9 weeks. The Plan of Care indicated skilled nursing was to perform pressure ulcer care to the left outer heel. The Plans of Care failed to evidence frequency of left heel dressing changes. A clinical record review, on 05/21/2025, failed to evidence the plan of care physician was notified of the wound care frequency change. During an interview, on 05/21/2025, beginning at 4:20 PM, Registered Nurse [RN] 2 indicated she made the decision to decrease dressing change frequency to one time per week because the wound was no longer draining and the doctor would be notified by the plan of care. RN 2 indicated she did not need an order to change the frequency in wound care. 410 IAC 17-13-1(a)

Verbal orders CFR(s): 484.60(b)(3)(4) (3) Verbal orders must be accepted only by personnel authorized to do so by applicable state laws and regulations and by the HHA's internal policies. (4) When services are provided on the basis of a physician or allowed practitioner's verbal orders, a nurse acting in accordance with state licensure requirements, or other qualified practitioner responsible for furnishing or supervising the ordered services, in accordance with state law and the HHA's policies, must document the orders in the patient's clinical record, and sign, date, and time the orders. Verbal orders must be authenticated and dated by the physician or allowed pracitioner in accordance with applicable state laws and regulations, as well as the HHA's internal policies. This ELEMENT is not met as evidenced by: Based on record review, and interview, the agency failed to ensure physician or practitioner’s verbal orders were documented in the patient’s clinical record and the orders were signed and dated in 1 of 1 active clinical records reviewed for a patient residing in an independent care facility (Patient #1). Findings include: 1. A revised policy, dated February 2024, titled, “Physician/Practitioner Orders – Verbal Orders,” indicated when a verbal order was received, the order would be written down, ready back to verify the order and the orders would include the patient’s name, physician/practitioner’s name/ date and time the order was taken, the signature of the person taking the order and the specific order. The policy indicated the original order was mailed or taken for signature. 2. Plans of Care, for certification period 03/08/2025 to 05/06/2025 and 05/07/2025 to 07/05/2025, for Patient #5 indicated skilled nursing was to perform pressure ulcer care to left heel by cleaning the wound with saline, applying iodosorb then alginate, cover with adhesive form dressing. An order, dated 01/30/2025, from physician 4 indicated left heel clean with normal saline/wound cleaner, pat dry, paint with betadine and leave open to air. An order, dated 03/07/2025, from physician 4 indicated discharge patient to entity, 1, a nursing facility with home health services. A start of care comprehensive assessment, dated 03/08/2025, indicated the left heel was cleaned with saline, iodosorb was applied then alginate dressing and covered with an adhesive foam dressing. A Physician order, dated 03/08/2025, indicated start of care orders and care coordination was with the plan of care physician was completed with the office personnel on 03/10/2025 regarding initial/assessment/admission and start of care and the home health plan of care was to follow. The physician order failed to evidence wound care orders. During an interview, on 05/21/2025, beginning at 4:20 PM, RN 2 indicated nurse practitioner 3 of a wound care medical group provided wound care orders for Patient. RN 2 indicated she called to the doctor to tell the doctor about the wound. During an interview, on 05/22/2025, beginning at 9:30 AM, the Administrator, administrative staff 1, indicated Patient #5 wound care was provided by nurse practitioner 3 and would need to call nurse practitioner 3 to obtain documentation of care provided for Patient #5. The Administrator indicated when nurse practitioner 3 gave wound care orders the order would need to be written and included in documentation in the electronic medical record. A clinical record review on 05/22/2025, failed to evidence orders from nurse practitioner 3. During a follow up interview, on 05/22/2025, beginning at 4:00 PM, the Administrator indicated nurse practitioner 3 needed to complete the notes prior to sending them to the agency. Upon exit, on 05/22/2025 at 5:00 PM no notes from nurse practitioner 3 had not been received. 410 IAC 17-14-1(a)(H)

Promptly alert relevant physician of changes CFR(s): 484.60(c)(1) The HHA must promptly alert the relevant physician(s) or allowed practitioner(s) to any changes in the patient's condition or needs that suggest that outcomes are not being achieved and/or that the plan of care should be altered. This ELEMENT is not met as evidenced by: Based on observation, record review, and interview, the agency failed to ensure the physician was notified of changes in the patient's condition that suggest the POC may need to be changed in 3 of 5 active clinical records reviewed. (Patient #1, 2, 3). Findings include: 1. A clinical record review for Patient #1 evidenced a SOC comprehensive assessment dated 04/14/2025 which indicated the Patient had a pressure ulcer (wounds to the skin and underlying tissue resulting from prolonged pressure to the skin) Stage III (an open pressure ulcer with full thickness loss of skin) to the sacrum (lower back). SN visit notes completed by LPN 1 indicated the wound measured 1.5 centimeters (cm) in length, 2.0 cm in width, and 1.5 cm in depth on 04/18/2025; 1.7 cm in length, 2.0 cm in width, and 1.5 cm in depth on 04/21/2025; 2.0 cm in length, 2.0 cm in width, and 1.5 cm in depth on 04/25/2025; and 4.0 cm in length, 4.5 cm in width, and 1.5 cm in depth on 05/02/2025. The record failed to evidence the agency notified the physician of the increase in wound size as noted on 05/02/2025. On 05/22/2025, beginning at 10:49 AM, RN 1 indicated she only communicated to Person 3 (nurse practitioner) in regard to the wound since Person 3 was the practitioner managing the wound. On 05/22/2025, at 11:42 AM, the CM indicated there was no documentation the agency notified the physician responsible for the POC of the increase in wound size. 2. 1. A clinical record review for Patient #2 evidenced a SOC comprehensive assessment dated 05/19/2025 which indicated the Patient required assistance with personal care, activities of daily living (ADLs), and feeding and lived at home with a caregiver. The record failed to identify if the caregiver was willing and able to provide the required care and failed to evidence the agency inquired if the Patient would be interested in HHA services to assist with care. On 05/20/2025, at 2:28 PM, the Patient’s caregiver indicated they were 71 years old, had open heart surgery, and indicated it was physically taxing to provide personal care and assist with ADLs. The Patient’s caregiver indicated the CM informed the Patient the agency would be providing a HHA to assist “in a week or so.” At the entrance conference on 05/19/2025, beginning at 3:20 PM, the CM indicated the agency provided HHA services but currently had no HHA and did not have a contract with another agency to provide HHA services. The CM indicated the agency was trying to hire HHAs to provide HHA services. On 05/20/2025, at 3:30 PM, the CM indicated she did inform the Patient’s caregiver the agency would be able to provide a HHA soon and indicated she thought the agency would have a HHA hired and ready to staff the Patient in a couple of weeks. On 05/22/2025, at 11:56 AM, the CM indicated the agency did not inform the physician of the inability to provide HHA services as needed. 3. A clinical record review for Patient #3 evidenced a SOC comprehensive assessment dated 03/01/2025 which indicated the Patient’s weight was 146 pounds, and the comprehensive assessment for recertification dated 04/25/2025 indicated the Patient’s weight was 138 pounds indicating a weight loss of 8 pounds. SN visit note dated 05/15/2025 indicated the Patient weighed 129 pounds. During an observation of care on 05/21/2025, at 11:25 AM, RN 2 weighed the Patient and indicated the Patient’s weight was 126 pounds which was a loss of 3 pounds in 1 week. RN 2 indicated one of the reasons for SN services was for the Patient’s diagnosis of failure to thrive and to monitor the Patient’s weight. The record failed evidence the agency notified the physician of the continued weight loss of 20 pounds since the admission on 03/01/2025. On 05/21/2025, at 4:24 PM, RN 2 indicated she was unsure if she had notified the physician of the Patient’s weight loss. On 05/22/2025, at 12:13 PM, the CM indicated she did see any documentation the physician was notified of the weight loss. 410 IAC 17-13-1(a)(2) 1. A revised policy, dated February 2024, titled, “Medication Profile,” indicated the comprehensive assessment performed at the time of admission would include a review of all medications that the patient was taking in order to identify potential adverse effects and drug reactions including significant side effects, significant drug interactions and duplicate drug therapy. The policy indicated the admitting registered nurse [RN] would check all medications a patient was taking and document on the medication profile and all prescribed medication and over the counter medications would be documented. 2. Medication Profiles, for Patient #4, dated 05/09/2025 and 05/13/2025, indicated Patient was taking accupril (blood pressure medication) 10 milligrams (mg) one tablet every day, atorvastatin (cholesterol lowering medication) 20 mg one tablet daily, cholestyramine ( 4 grams (gm) twice daily, folic acid 1 mg one tablet daily, to gabapentin (neupathic pain medication) 100 mgs 2 tablets every night, hydralazine (blood pressure medication), 50mg one tablet 3 times per day, Lasix (diuretic) 20 mg one tablet daily, leflunomide (arthritis medication) 10 mg one tablet daily, pantoprazole (acid reducing medication) 40 mg one tablet daily, potassium chloride 20 milliequivalents one tablet daily, prednisone (anti-inflammatory steroid) 20 mg one tablet daily, psyllium (dietary fiber) one packet daily, and zoloft (antidepressant) 50 mg one tablet daily. The Medication Profiles were signed by RN 1 on 05/09/2025 and 05/13/2025 and indicated the medications were reviewed for potential adverse effects, drug reactions including significant side effects, and significant drug interactions. During an observation of a home visit on 05/21/2025, beginning at 12:15 PM, Patient #4 indicated a list of medication from entity 2, a skilled nursing facility was her/his medication list and indicated Patient was taking ascorbic acid (vitamin C) 250 mg one tablet daily, cholestyramine (cholesterol medication) 4 gm one packet twice daily, ergocalciferol 1.25 mg one capsule weekly, folic acid 1 mg one tablet daily, Lasix 40 mg one tablet daily, gabapentin 100 mg one tablet in the evening, hydralazine 25 mg and 50 mg to equal 75mg three times a day, leflunomide 10 mg one tablet daily, atorvastatin 20 mg daily, losartan (blood pressure medication) 50 mg one tablet twice daily, polysaccharide iron 150m mg one capsule twice a day, potassium chloride 10 milliequivalents 2 tablets every day, prednisone 20 mg three tables daily, protonix 40 mg one tablet daily, sertraline 50 mg one tablet daily and Tylenol extra strength 500 mg one tablet every 6 hours as needed. Patient indicated he/she used Tylenol Arthritis as needed. The agency’s medication profiles failed to evidence the losartan, and Tylenol. A drugs.com interaction check indicated major drug interactions between losartan and potassium that could elevate potassium levels in the body, and major drug interactions between Tylenol and leflunomide that could cause liver problems. A Comprehensive Assessment, dated 05/09/2025, indicated medications were reconciled and no issues found during review. An agency’s Drug-Drug Interactions dated 05/21/2025 indicated moderate reactions between accupril and potassium chloride, Lasix and cholestyramine, cholestyramine and leflunomide, prednisone and leflunomide, atorvastatin and leflunomide, and Lasix and leflunomide. A clinical record review failed to include documentation the physician was notified of the drug to drug interactions. During an interview on 05/21/2025, beginning at 1:00 PM, RN 1 indicated the physician would be notified of the drug to drug interactions noted, and she would call the physician with the interactions and would document when the physician was notified. 410 IAC 17-13-1(a)(2)

Communication with all physicians CFR(s): 484.60(d)(1) Standard: Coordination of Care. The HHA must: (1) Assure communication with all physicians or allowed practitioners involved in the plan of care. This ELEMENT is not met as evidenced by: Based on record review and interview, the agency failed to ensure communication with all practitioners providing care to the patient in 2 of 3 active clinical records reviewed with wounds receiving care from Person 3. (Patient #1, 5) The findings include: 1. A clinical record review for Patient #1 evidenced a SOC comprehensive assessment dated 04/14/2025 which indicated the Patient had a pressure ulcer (wounds to the skin and underlying tissue resulting from prolonged pressure to the skin) Stage III (an open pressure ulcer with full thickness loss of skin) to the sacrum (lower back). On 05/22/2025, beginning at 10:49 AM, RN 1 indicated Person 3 (nurse practitioner) provided wound care 1 time per week in the Patient’s home. The clinical record failed to evidence any care coordination with Person 3. On 05/22/2025, at 11:42 AM, the CM indicated there was not yet any documentation of care coordination with Person 3 regarding the wound care. #. Plans of Care, for certification periods 03/08/2025 to 05/06/2025 and 05/07/2025 to 07/05/2025 indicated Patient #5 required skilled nursing for wound care to left heel. The Plans of Care failed to evidence documentation of nurse practitioner 3, a wound care medical group provided wound care orders for Patient. During an interview, on 05/21/2025, beginning at 4:20 PM, RN 2 indicated nurse practitioner 3 of a wound care medical group provided wound care orders for Patient. During an interview, on 05/22/2025, beginning at 9:30 AM, the Administrator, administrative staff 1, indicated Patient #5 wound care was provided by nurse practitioner 3 and she would need to call nurse practitioner 3 to obtain documentation of care provided for Patient #5. The Administrator indicated when nurse practitioner 3 gave wound care orders the order would need to be written and included in documentation in the electronic medical record. A review of the clinical record, on 05/22/2025, failed to include documentation of communication with nurse practitioner 3. 410 IAC 17-14-1(a)(1)(G)

Integrate all services CFR(s): 484.60(d)(3) Integrate services, whether services are provided directly or under arrangement, to assure the identification of patient needs and factors that could affect patient safety and treatment effectiveness and the coordination of care provided by all disciplines. This ELEMENT is not met as evidenced by: Based on record review and interview, the agency failed to coordinate care with all disciplines and other agencies providing care in the home in 2 of 5 active clinical records reviewed. (Patient #1, 2) The findings include: 1. A clinical record review for Patient #1 evidenced a SOC comprehensive assessment dated 04/14/2025 which indicated the Patient had a pressure ulcer (wounds to the skin and underlying tissue resulting from prolonged pressure to the skin) Stage III (an open pressure ulcer with full thickness loss of skin) to the sacrum (lower back). SN visit notes completed by LPN 1 indicated the wound measured 1.5 centimeters (cm) in length, 2.0 cm in width, and 1.5 cm in depth on 04/18/2025; 1.7 cm in length, 2.0 cm in width, and 1.5 cm in depth on 04/21/2025; 2.0 cm in length, 2.0 cm in width, and 1.5 cm in depth on 04/25/2025; and 4.0 cm in length, 4.5 cm in width, and 1.5 cm in depth on 05/02/2025. The record failed to evidence LPN 1 notified the RN case manager of the increase in wound size as noted on 05/02/2025. On 05/22/2025, at 11:42 AM, the CM indicated there was no documentation the LPN notified the RN case manager of the size increase. 2. On 05/21/2025, at 11:25 AM, RN 2 indicated Patient #2 was receiving housekeeping services paid for privately by the Patient. On 5/21/2025, at 5:41 PM, Patient #2 indicated they received services from Entity 7 for housekeeping and personal care services. On 5/22/2025, at 9:52 AM, Person 8 at Entity 7 indicated Entity 7 provided services to the patient for 4 hours 1 time a week to include assistance with showering, personal care, meal preparation, and light housekeeping. The clinical record failed to evidence care coordination by the agency with Entity 7. On 05/22/2025, at 12:18 PM, the CM indicated there was no care coordination with Entity 7. 410 IAC 17-12-2(g) 410 IAC 17-12-2(h)

Program scope CFR(s): 484.65(a)(1),(2) Standard: Program scope. (1) The program must at least be capable of showing measurable improvement in indicators for which there is evidence that improvement in those indicators will improve health outcomes, patient safety, and quality of care. (2) The HHA must measure, analyze, and track quality indicators, including adverse patient events, and other aspects of performance that enable the HHA to assess processes of care, HHA services, and operations. This STANDARD is not met as evidenced by: Based on record review, and interview, the agency’s Quality Assessment and Performance Improvement [QAPI] program failed to analyze patients’ falls adverse events and implement preventive actions for 5% of unduplicated 12 month census with patients’ falls from 04/01/2024 to 05/22/2025 (Patient #8, Patient #9, Patient #10, Patient #11, Patient #12, Patient #13, Patient #14, Patient #15). Findings include: 1. A revised policy, dated February 2024, titled, “Quality Assurance and Performance Improvement [QAPI] Plan and Program,” indicated the agency would be capable of showing measurable improvement in indicators for which improvement in those indicators would improve health outcomes, patient safety and quality of care. 2. A revised policy, dated February 2024, titled, “ Variance/Incident Reporting,” indicated Variance/Incident Reports would be forwarded to the QAPI committee for the purpose of reviewing, analyzing, aggregating, trending and making performance improvement recommendations. 3. An Incident Surveillance Report, for 04/01/2024 to 06/20/2025, indicated Patient #10, Patient #11, Patient #13, Patient #14, and Patient #16 had documented falls with injury; and Patient #12, and Patient #15 had falls without injury. A Hospitalization Log indicated Patient #9 was admitted 04/20/2025 for a fall, and Patient #8 was hospitalized with an unknown admission date for a fall. A QAPI Plan Q4 2024 failed to evidence patients’ falls were identified to analyze to implement preventive actions. QAPI Meeting Minutes for 01/08/2025, and 04/02/2025, failed to evidence patients’ falls were analyzed to implement preventive actions. During an interview on 05/22/2025, beginning at 3:10 PM, the Administrator indicated patients’ falls were not part of the agency’s performance improvement program. 410 IAC 17-12-2(a)

Authentication CFR(s): 484.110(b) Standard: Authentication. All entries must be legible, clear, complete, and appropriately authenticated, dated, and timed. Authentication must include a signature and a title (occupation), or a secured computer entry by a unique identifier, of a primary author who has reviewed and approved the entry. This STANDARD is not met as evidenced by: Based on record review and interview, the agency failed to ensure the clinical record was accurate in 1 of 2 clinical records reviewed with services provided by a LPN. (Patient #1) The findings include: A clinical record review for Patient #1 evidenced SN visit notes completed by LPN 1 and dated 04/18/2025, 04/21/2024, 04/25/2025, 05/02/2025, 05/09/2025, and 05/11/2025 which indicated the LPN documented the visit narrative the same for all visits. On 05/22/2025, at 11:41 AM, the CM indicated the LPN was on vacation and not available for interview and indicated the LPN must have carried over the narrative from one visit to the next. 410 IAC 17-15-1(b)

An Emergency Preparedness survey was conducted by the Indiana Department of Health in accordance with 42 CFR 484.102 for a Home Health Provider and Supplier. Survey Dates: 7/5/2022 to 7/8/2022 Census: 17 At this Emergency Preparedness survey, LMR Indiana Home Care was found to be in compliance with Conditions of Participation 42 CFR 484.102, Emergency Preparedness requirements for Medicare Participating Providers and Suppliers. QR Completed 7/21/2022 A4

This visit was for a Federal Recertification and State Re-licensure Survey of a Home Health provider. Survey Dates: 7/5/2022 to 7/8/2022 Census: 17

Plan of care CFR(s): 484.60(a)(1) Each patient must receive the home health services that are written in an individualized plan of care that identifies patient-specific measurable outcomes and goals, and which is established, periodically reviewed, and signed by a doctor of medicine, osteopathy, or podiatry acting within the scope of his or her state license, certification, or registration. If a physician or allowed practitioner refers a patient under a plan of care that cannot be completed until after an evaluation visit, the physician or allowed practitioner is consulted to approve additions or modifications to the original plan. This STANDARD is not met as evidenced by: Based on record review and interview, the agency failed to ensure the plan of care was followed in 2 of 5 active clinical records reviewed (#4, 5). The findings include: 1. Record review on 7/8/2022 evidenced an agency policy titled, “PLAN OF CARE”, revised 2018, which stated, “ … Home care services are furnished under the supervision and direction of the patient’s physician … Patient must receive home health services that are written in individualized Plan of Care….” 2. Record review evidenced an agency policy titled, “POLICY ON MISSED VISIT”, dated 2009, which stated, “ … Agency staff will be hired in sufficient numbers as to cover for each patient and illness, or unplanned absences. Should a situation arise that the visit cannot be completed as scheduled … The visit will be rescheduled for a time suitable to the patient. The missed visit will be documented in the patients’ record….” 3. Clinical record review on 7/6/2022 for patient #4, start of care 4/7/2022, certification period 6/6/2022 to 8/4/2022, primary diagnosis of Type 2 Diabetes Mellitus (an impairment in the way the body regulates and uses sugar as fuel), evidenced an agency document titled, “HOME HEALTH CERTIFICATION AND PLAN OF CARE”, signed by the physician on 6/22/2022. The plan of care had a subsection titled, “Safety”, which stated, “Bleeding Precautions … Aspiration Precautions…” Clinical record review evidenced a group of agency documents titled, “SN [skilled nurse] TEACHING / TRAINING VISIT”, dated 6/10/2022, 6/17/2022, 6/24/2022 and 6/30/2022. Each of the visit notes failed to evidence bleeding and aspiration precautions. During an interview on 7/8/2022 at 11:50 AM, the administrator indicated safety should be addressed by all clinicians at every visit and documented in each visit note. When informed of the findings, the administrator reviewed the record and indicated the notes failed to evidence bleeding and aspiration precautions. 4. Clinical record review on 7/7/2022 for patient #5, start of care 5/17/2022, certification period 5/17/2022 to 7/15/2022, primary diagnosis of Transient cerebral ischemic attack (a brief episode during which parts of the brain do not receive enough blood), evidenced an agency document titled, “HOME HEALTH CERTIFICATION AND PLAN OF CARE”, signed by the physician on 6/22/2022. The plan of care had a subsection titled, “Orders For Discipline and Treatment”, which stated, “SN Frequency: 1w9 [once a week for 9 weeks], and, PRN [as needed] to instruct / teach disease process, its management and treatment….” Clinical record review evidenced an agency document titled, “MISSED VISIT”, dated 5/24/2022 (Tuesday), signed by the alternate administrator, which stated, “ … Reason No Answer to Phone Call….” Clinical record review failed to evidence any nursing visits were made for the week of 5/22/2022 to 5/27/2022. During an interview on 7/8/2022 at 12:45 PM, the administrator indicated if a visit is missed, the clinician should reschedule the visit if possible. 410 IAC 17-13-1(a)

Plan of care must include the following CFR(s): 484.60(a)(2)(i-xvi) The individualized plan of care must include the following: (i) All pertinent diagnoses; (ii) The patient's mental, psychosocial, and cognitive status; (iii) The types of services, supplies, and equipment required; (iv) The frequency and duration of visits to be made; (v) Prognosis; (vi) Rehabilitation potential; (vii) Functional limitations; (viii) Activities permitted; (ix) Nutritional requirements; (x) All medications and treatments; (xi) Safety measures to protect against injury; (xii) A description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors. (xiii) Patient and caregiver education and training to facilitate timely discharge; (xiv) Patient-specific interventions and education; measurable outcomes and goals identified by the HHA and the patient; (xv) Information related to any advanced directives; and (xvi) Any additional items the HHA or physician or allowed practitioner may choose to include. This ELEMENT is not met as evidenced by: Based on observation, record review and interview, the agency failed to ensure the individualized plan of care included complete orders for medications, treatments, safety measures, and advanced directives in 5 of 7 records reviewed (#1, 3, 4, 5, 6). The findings include: 7. Clinical record review for patient #1 on 7/6/2022, start of care 2/24/2022, certification period 6/24/2022 to 8/22/2022, evidenced an agency document titled, “Home Health Certification and Plan of Care.” This document had a subsection titled, “Medications,” which stated, “…STOPAIN CLINICAL [used to provide temporary relief of minor arthritis pain, backache, muscles or joint pain, or painful bruises] 10% TOPICAL GEL Thin film to affected area Apply to affected area as needed for pain Topical (Top) U….” The plan of care failed to evidence an affected area for usage of the as-needed medication. During an interview on 7/8/2022 at 11:45 AM, the clinical manager indicated medication orders should have the medication name, dosage, frequency, route, and orders for topical medications should include where it goes on the patient’s body. 410 IAC 17-13-1(a)(1)(D)(ix, x, xiii) 1. Record review on 7/8/2022 evidenced an agency policy titled, “PLAN OF CARE”, revised 2018, which stated, “ … The individualized Plan of care is based on a comprehensive assessment and information provided by the patient / family and health team members. Planning for Care is a dynamic process that addresses the care, treatment and services to be provided … The Plan of Care shall be completed in full to include: … Medications, treatments, and procedures … Any safety measures to protect against injury … Information related to advance directives….” 2. Record review evidenced an undated agency policy titled, “ADVANCE DIRECTIVES”, which stated, “ … During the admission / evaluation visit, the admitting clinician / technician will ask the patient or his / her representative whether or not he / she has completed an Advance Directive … If an Advance Directive has been completed, the clinician / technician will ask for a copy of the Advance Directive so it will be placed in the clinical / service record….” 3. Clinical record review on 7/6/2022 for patient #4, start of care 4/7/2022, certification period 6/6/2022 to 8/4/2022, primary diagnosis of Type 2 Diabetes Mellitus (an impairment in the way the body regulates and uses sugar as fuel), evidenced an agency document titled, “HOME HEALTH CERTIFICATION AND PLAN OF CARE”, signed by the physician on 6/22/2022. The plan of care had a subsection titled, “Orders For Discipline and Treatment”, which stated, “ … SN [skilled nurse] to monitor blood sugar levels to assess efficacy of medication and dietary therapy; coordinate care with physician for need to change plan of care….” Review of the plan of care failed to evidence who was checking the patient’s blood sugar and at what frequency. During an interview on 7/8/2022 at 11:39, the administrator indicated the plan of care failed to evidence individualized instruction for monitoring the patient’s blood sugar. Review of the plan of care evidenced a subsection titled, “Medications”, which stated, “ … NYSTATIN [an antifungal medication] … COMPOUNDING POWDER liberal Applied as instructed Topical … UREA [a medication used to treat itchy, dry skin] 20% TOPICAL CREAM liberal amount Applied as instructed Topical….” Review of the plan of care failed to evidence the frequency of the medication and where on the body it was used. During an interview on 7/8/2022 at 11:45 AM, the administrator indicated all topical medication orders should include the frequency of the medication and where on the body it was used. 4. Clinical record review on 7/6/2022 for patient #3, start of care 6/2/2022, certification period 6/2/2022 to 7/31/2022, primary diagnosis of Essential hypertension (abnormally high blood pressure), evidenced an agency document titled, “HOME HEALTH CERTIFICATION AND PLAN OF CARE”. The plan of care had a subsection titled, “Orders For Discipline and Treatment”, which stated, “ … SN to assess diabetic status … SN to instruct patient on … Blood sugar monitoring….” Review of the plan of care failed to evidence who was checking the patient’s blood sugar and at what frequency. During an interview on 7/8/2022 at 12:24 PM, the administrator indicated the plan of care failed to evidence individualized instruction for monitoring the patient’s blood sugar. Review of the plan of care evidenced a subsection titled, “DME [durable medical equipment] and Supplies”, which stated, “DME: Oxygen….” Review of the plan of care evidenced a subsection titled, “Safety”, which failed to indicate oxygen precautions. Observation of a home visit for patient #3 on 7/7/2021 at 9:30 AM evidenced oxygen equipment in the patient’s home. During an interview on 7/8/2022 at 12:30 PM, the administrator indicated if there is oxygen in a patient’s home, the plan of care should include oxygen precautions. 5. Clinical record review on 7/7/2022 for patient #5, start of care 5/17/2022, certification period 5/17/2022 to 7/15/2022, primary diagnosis of Transient cerebral ischemic attack (a brief episode during which parts of the brain do not receive enough blood), evidenced an agency document titled, “HOME HEALTH CERTIFICATION AND PLAN OF CARE”, signed by the physician on 6/22/2022. The plan of care had a subsection titled, “Orders For Discipline and Treatment”, which stated, “ … SN [skilled nurse] to monitor blood sugar levels to assess efficacy of medication and dietary therapy; coordinate care with physician for need to change plan of care….” Review of the plan of care failed to evidence who was checking the patient’s blood sugar and at what frequency. During an interview on 7/8/2022 at 12:44 PM, the administrator indicated the plan of care failed to evidence individualized instruction for monitoring the patient’s blood sugar. Clinical record review evidenced an agency document titled, “SN TEACHING / TRAINING VISIT”, dated 6/29/2022, signed by the alternate administrator. The visit note had a subsection titled, “Visit Narrative”, which stated, “ … foley catheter [a tube inserted through the urethra to drain the bladder] was inserted at [physician #1] office 6/24….” Review of the plan of care failed to evidence any foley catheter care. During an interview on 7/8/2022 at 12:49 PM, the administrator indicated the plan of care should include the foley was being changed by the physician. The administrator indicated the plan of care should include interventions for nursing care of a patient with a foley, including assessing the catheter site and urine output, and what findings should be reported to the physician. 6. Clinical record review on 7/7/2022 for patient #6, start of care 9/21/2022, certification period 11/21/2021 to 1/19/2022, primary diagnosis of Parkinson’s Disease, evidenced an agency document titled, “HOME HEALTH CERTIFICATION AND PLAN OF CARE”. The plan of care had a subsection titled, “Orders For Discipline and Treatment”, which stated, “ … SN to assess diabetic status … SN to instruct patient on … Blood sugar monitoring….” Review of the plan of care failed to evidence who was checking the patient’s blood sugar and at what frequency. During an interview on 7/8/2022 at 12:44 PM, the administrator indicated the plan of care failed to evidence individualized instruction for monitoring the patient’s blood sugar. Clinical record review evidenced an agency document titled, “PATIENT SERVICE AGREEMENT”, dated 9/22/2021. The document had a subsection titled, “ADVANCE DIRECTIVES”, which indicated the patient had a Living Will. Review of the plan of care failed to evidence the patient’s advance directive. Review of the patient’s electronic clinical record (Axxess) failed to evidence the patient’s advance directive. During an interview on 7/8/2022 at 1:20 PM, the administrator indicated if a patient had an advance directive, it should be included in the plan of care and a copy should be put into the patient’s clinical record. The administrator indicated the clinical record failed to evidence the patient’s advance directive.

Revised plan of care CFR(s): 484.60(c)(2) A revised plan of care must reflect current information from the patient's updated comprehensive assessment, and contain information concerning the patient's progress toward the measurable outcomes and goals identified by the HHA and patient in the plan of care. This ELEMENT is not met as evidenced by: Based on record review and interview, the home health agency failed to revise the plan of care to reflect the current health status and needs in 1 of 5 active patient records reviewed. (#1) The findings include: An agency policy titled, “Plan of Care,” revised 2018, stated, “… The individualized Plan of care is based on a comprehensive assessment and information provided by the patient/family and health team members. Planning for Care is a dynamic process that addresses the care, treatment and services to be provided. The plan will be consistently reviewed to ensure that patient needs are met, and will be updated as necessary, but at least every (60) days. … The Plan of Care shall be completed in full to include: … Type, frequency, and duration of all visits/services….” Clinical record review for patient #1 on 7/6/2022, start of care 2/24/2022, certification period 6/24/2022 to 8/22/2022, evidenced an agency document titled, “Home Health Certification and Plan of Care.” This document had a subsection titled, “Medical Necessity,” which stated, “… Therapy services will be required for increased functional disability problems. … Physical therapy provided this episode this episode and well tolerated by patient….” Clinical record review on 7/6/2022 evidenced an agency document titled, “OASIS-D1 Recertification,” electronically signed by the alternate administrator. This document had a subsection titled, “Therapy Need & Plan,” which stated, “…Therapy Need: In the home health plan of care for the Medicare payment episode for which this assessment will define a case mix group, what is the indicated need for therapy visits (total of reasonable and necessary physical, occupational, and speech-language pathology visits combine)? (Enter zero [‘000] if no therapy visits indicated.) Number of therapy visits indicated (total of physical, occupational, and speech-language pathology combined). 000….” Clinical record review for patient #1 on 7/6/2022, start of care 2/24/2022, certification period 4/25/2022 to 6/23/2022, evidenced an agency document titled, “PT [physical therapy] Discharge Summary,” electronically signed by PT #2, dated 6/20/2022. This document stated, “… Stable … Goals Met … Care coordination with RN [registered nurse], DON [director of nursing] and MD [medical doctor]. Notified about PT discharge. … Pt [patient] was able to meet all PT [physical therapy] goals and was discharged from skilled PT services….” During an interview on 7/8/2022 at 12:33 PM, the administrator indicated the note on the plan of care was carried over from the last episode and was an oversight.

Patient medication schedule/instructions CFR(s): 484.60(e)(2) Patient medication schedule/instructions, including: medication name, dosage and frequency and which medications will be administered by HHA personnel and personnel acting on behalf of the HHA. This ELEMENT is not met as evidenced by: Based on observation and interview, the agency failed to ensure patients were provided a current written patient medication list in 1 of 1 home visits conducted with a physical therapist (#3). The findings include: Record review on 7/8/2022 evidenced an undated agency policy titled, "MEDICATION PROFILE", which stated, " ... Each patient will receive appropriate written material for specific medications he / she is receiving. The material will contain information on actions of the medication, potential side effects, contraindications the patient should be aware of, and any special instructions when taking the specific medication...." Observation of a home visit for patient #3 was conducted on 7/7/2021 at 9:30 AM . Review of the patient's home folder evidenced a blank home medication list. Observation of the home visit failed to evidence a current medication list provided by the agency. During an interview on 7/7/2022 at 10:30 AM, patient #3 indicated they did not receive a written medication list from the agency. During an interview on 7/8/2022 at 12:21 PM, the administrator indicated the clinician who does the admission assessment should fill out the hand-written home medication list in the patient folder.

Track adverse patient events CFR(s): 484.65(c)(2) Performance improvement activities must track adverse patient events, analyze their causes, and implement preventive actions. This STANDARD is not met as evidenced by: Based on record review and interview, the agency failed to track adverse patient events in 1 of 2 patient records with documented falls (#6). The findings include: Record review on 7/8/2022 evidenced an agency policy dated 2009, titled, "PATIENT / EMPLOYEE INCIDENT REPORT PROCEDURES", which stated, "All patient / employee incidents should be reported immediately to the Director of Patient Services. The employee will complete the appropriate incident report...." Clinical record review on 7/7/2022 for patient #6, start of care 9/21/2022, certification period 11/21/2021 to 1/19/2022, primary diagnosis of Parkinson’s Disease, evidenced an agency document titled, "COMMUNICATION NOTE" dated 10/30/2021, which stated, " ... [Physical Therapist 1] reported that [patient #6] fell twice this week...." Review of the agency's incident log from January 2021 to present failed to evidence any entries for patient #6. During an interview on 7/7/2021 at 1:12 PM, the administrator indicated all falls, witnessed or reported, should be entered in the incident log. When informed of the findings on 7/8/2021 at 10:00 AM, the administrator indicated the reported falls should have been entered in the incident log. When queried, the administrator indicated the agency failed to record the reported falls in the incident log. 410 IAC 17-12-2(a)

Services provided by HH aide CFR(s): 484.80(g)(2) A home health aide provides services that are: (i) Ordered by the physician or allowed practitioner; (ii) Included in the plan of care; (iii) Permitted to be performed under state law; and (iv) Consistent with the home health aide training. This ELEMENT is not met as evidenced by: Based on observation, record review and interview, the agency failed to ensure the home health aide followed the care plan for active patients receiving home health aide services in 1 of 1 home health aide visits observed. (#2) The findings include: An agency policy titled, “Job Description – Title: Home Health Aide,” revised 2018, stated, “… Responsibilities: 1. Provides patient care in accordance with the written care plan. … 5. Assist patient with ambulation, transfer, and use of wheelchair, crutches, walker or other assisting devices. … 13. Maintains patient safety and the security of personal belongings. 14. Works cooperatively and communicates effectively with family members and other members of the health care team….” An undated agency policy titled, “Mobility – Transfer Techniques,” received 7/8/2022, stated, “… Body Mechanics: … Assist the patient at U [sic], i.e. waist with a gait belt [assistive device put on a patient who has mobility issues]. Don’t hold the patients lit [sic] at the shoulder. Using a gait belt gives a good grip without restricting the use of the patient’s arms. … Principles of Transfers: … Communication with the patient’s physical therapist when possible is important to insure [sic] the transfer method is the same on the floor as in physical therapy. The therapist often is instrumental in offering tips that improve the patient’s ability to transfer….” Clinical record review for patient #2 on 7/6/2022, start of care 6/10/2022, certification period 6/10/2022 to 8/8/2022, evidenced an agency document titled, “HHA [home health aide] Care Plan,” electronically signed by the administrator. The care plan had a subsection titled, “Safety Precautions,” which had the following categories checked off for the home health aide to provide: “Keep Pathway Clear… Support During Transfer/Ambulation, Fall Precautions, Safety in ADLs, Use of Assistive Devices.” The care plan had a subsection titled, “Activities Permitted,” which had the following items checked off for the home health aide to provide: “… Cane, Other Human assistance.” Clinical record review on 7/6/2022 evidenced an agency document titled, “PT [physical therapy] Visit,” electronically signed by PT #1, dated 6/27/2022. This document stated, “… Gait Training: Assistive Device Standard cane … Assessment: … Pt [patient] has stooped posture, unsteady, wobbly … Pt is high risk of falls. Pt will continue to benefit from PT services to promote safety and independence. … Progress made towards goals: Pt tolerates ambulation with st [standard] cane and 1 hand on furniture for support, pt is unsteady, wobbly and has poor coordination. Pt is fall risk….” Clinical record review on 7/6/2022 evidenced an agency document titled, “Communication Note,” electronically signed by the administrator. This document stated, “… Care coordinated with assigned RN [alternate administrator] regarding patient’s fall incident 06/30/2022. Patient did not incur any apparent injury. SN [skilled nurse] notified Doctor #2’s office. Author notified PT regarding fall incident to reinforce home safety training and falls prevention instructions.” During an observation on 7/6/2022 at 2:00 PM, a home visit with patient #2 was observed. HHA [home health aide] #1 brought a rollator walker [an assistive device that consists of a frame with four legs but may have anywhere between two to four wheels and a built-in seat]to patient #2 to use. Patient #2’s spouse said the rollator had just arrived yesterday. Patient #2 was unable to stand, so the patient’s spouse assisted them to the standing position. HHA #1 assisted patient #2 from the living room to the bathroom with the rollator walker. When they arrived at the bathroom doorway, it was discovered that the rollator would not fit through the door, so HHA #1 left the rollator in the hallway, held onto patient #2’s waistband and continued walking into the bathroom without the use of an assistive device. HHA #1 then had patient #2 hold on to the bathroom sink, let go of the patient’s waistband, and proceeded to close the lid of the toilet, place a towel on top of the toilet, and helped the patient sit on the towel on top of the closed toilet. HHA #1 then walked out of the bathroom, leaving patient #2 sitting alone on top of the toilet to retrieve the items needed for the sponge bath. When the sponge bath was done, HHA #1 began to dress patient #2 in a t-shirt, then walked out of the bathroom, leaving the patient sitting on the toilet with only a t-shirt on, to ask the patient’s spouse for an adult diaper, then came back into the bathroom to finish dressing the patient. Once patient #2 was dressed, HHA #1 went to the hallway and brought the rollator walker to the doorway of the bathroom and had patient #2 stand and walk to the rollator while holding the patient’s waistband. Patient #2’s knees started to bend when they reached the rollator and HHA #2 grasped the waistband, pulling the patient upright to a standing position again, encouraging them to keep walking back to the recliner in the living room. During an interview on 7/8/2022 at 12:08 PM, the administrator indicated the chair bath should probably be done in the patient’s recliner in the living room with the curtains closed. The administrator also indicated patient #2 is a very high fall risk and the patient was not yet trained on how to use the rollator walker at the time of the visit.

Authentication CFR(s): 484.110(b) Standard: Authentication. All entries must be legible, clear, complete, and appropriately authenticated, dated, and timed. Authentication must include a signature and a title (occupation), or a secured computer entry by a unique identifier, of a primary author who has reviewed and approved the entry. This STANDARD is not met as evidenced by: Based on record review and interview, the home health agency failed to ensure all entries in the clinical record were clear, complete and appropriately authenticated in 1 of 5 active patient records reviewed (#4). The findings include: Record review evidenced an agency policy titled, "POLICY ON CLINICAL RECORD DOCUMENTATION", dated 2/3/2020, which stated, "Consistent, current, accurate and complete documentation in the medical records is an essential component of quality patient care...." Clinical record review on 7/6/2022 for patient #4, start of care 4/7/2022, certification period 6/6/2022 to 8/4/2022, primary diagnosis of Type 2 Diabetes Mellitus (an impairment in the way the body regulates and uses sugar as fuel), evidenced an agency document titled, "OASIS [Outcome and Assessment Information Set] [a standardized assessment used in Medicare home health care]-D1 Recertification", dated 6/3/2022 and signed by RN [registered nurse] 1. The assessment had a subsection titled, "INTEGUMENTARY [skin] STATUS", which indicated the patient had no wounds. The assessment had a section titled, "Nutritional Health Screen", which indicated the patient had an open wound. During an interview on 7/8/2022 at 11:44 AM, the administrator indicated the patient did not have a wound at the time of the OASIS assessment, and the documentation in the nutritional health screen was an error. Clinical record review evidenced an agency document titled, "OASIS [Outcome and Assessment Information Set] [the patient-specific, standardized assessment used in Medicare home health care to plan care] -D1 Recertification", dated 6/3/2022 and signed by RN [registered nurse]1. The assessment had a subsection titled, "Vital Signs", which stated, " ... Height: 72 inches Weight 432 lbs...." Clinical record review evidenced a group of agency documents titled, "SN [skilled nurse] TEACHING / TRAINING VISIT". Skilled nurse visit notes dated 6/17/2022 and 6/24/2022 indicated the patient's height was 430 inches, and weight was 72 lbs. During an interview on 7/8/2022 at 11:55 AM, the administrator indicated the patient's height was 72 inches and weight was 430 lbs. When queried, the administrator indicated the skilled nurse visit notes did not evidence the correct patient information. 410 IAC 17-15-1(a)(7)