Every finding on record at Magnolia Home Health Care, Inc

This entity is in compliance with the federal emergency preparedness requirements.

Recertification Survey

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: Abbreviations: DON- Director of Nurses POC- Plan of Care Based on record reviews and interviews, the Home Health Agency failed to ensure the individualized plan of care for 1 (#2) of 10 sampled patients included: 1. Orders for the skilled nurse to monitor/obtain weights with each visit for Patient #2 who was admitted with hypertensive heart disease with heart failure and; 2. Orders for the skilled nurse to monitor/obtain blood glucose readings with each visit and parameters for reporting abnormal blood glucose readings for Patient #2. Findings: Review of Patient #2’s record revealed an admission date of 10/30/2025 with diagnoses including hypertensive heart disease with heart failure, heart failure unspecified, and type 2 diabetes mellitus without complications. The certification period reviewed was from 12/29/2025 through 02/26/2026. Review of Patient #2’s current POC revealed the patient has skilled nurse visits one time per week for 9 weeks beginning the week of 12/29/2025. Further review of the POC revealed no orders for the skilled nurses to monitor/obtain the patient’s weight and blood glucose reading for each skilled nurse visit, and no parameters for reporting abnormal blood glucose readings. An interview on 02/11/2026 at 10:10 a.m. with S1DON/Administrator revealed Patient #2 has diagnoses of heart failure and type 2 diabetes mellitus. S1DON/Administrator revealed Patient #2’s POC did not include orders to monitor/obtain the patient’s weight and blood glucose reading with each visit. An interview on 02/11/2026 at 3:05 p.m. with S1DON/Administrator confirmed Patient #2’s POC should have included monitoring/obtaining weight and blood glucose reading on each skilled nurse visit and should have included parameters for reporting abnormal blood glucose readings.