Every finding on record at Mainehealth Care at Home

Federal Recertification Survey Survey Dates: 3/6/2023 to 3/7/2023 MaineHealth Care at Home, a Home Health Agency, is in substantial compliance with 42 Code of Federal Regulations Part 484.22 Condition of Participation: Emergency Preparedness.

Federal Recertification Survey Review of Coronavirus 2019 ("COVID-19") Vaccination of Facility Staff Requirements Federal Complaint: #36136 Survey Dates: 3/6/2023 to 3/7/2023 MaineHealth Care at Home, a Home Health Agency, is in substantial compliance with 42 Code of Federal Regulations Part 484, Conditions of Participation for Home Health Agencies and the Coronavirus 2019 ("COVID-19") Vaccination of Facility Staff Requirements. However, the following deficiencies were cited:

Conformance with physician orders CFR(s): 484.60(b) Standard: Conformance with physician or allowed practitioner orders. This STANDARD is not met as evidenced by: Based on document reviews and interviews, it was determined that the agency failed to ensure that services, by the Home Health Aide, Occupational Therapy and Skilled Nursing were provided in accordance with orders written by the physician and the written plan of care for three (3) of twenty-four (24) records reviewed (Patient #1, #2 and #4). On 3/6/2023 at approximately 1:26 PM, clinical records were reviewed with the Supervisor of Quality Operations. This review indicated the following: Patient #1 had a plan of care and physician orders that required the following: The certification period 11/28/2022 to 1/26/2023, a Home Health Aide was required to visit two (2) times weekly and the Occupational Therapist was required to visit two (2) times weekly, and Per the clinical record, on 11/29/2022, 12/1/2022 and 12/13/2022 no Home Health Aide visits were made. Per the clinical record, on 12/30/2022 and 1/3/2023 no Occupational Therapy visits were made. Patient #2 had a plan of care and physician orders that required the following: The certification period 7/29/2022 to 9/26/2022, a Skilled Nurse was required to visit one (1) time weekly, and Per the clinical record, on 8/4/2022, 8/30/2022 and 9/7/2023 no Skilled Nursing visits were made. Patient #4 had a plan of care and physician orders that required the following: The certification period 9/18/2022 to 1/16/2022, a Skilled Nurse was required to visit two (2) times weekly, and Per the clinical record, during the last two (2) weeks of the certification period there were no Skilled Nursing visits made. On 3/6/2023 at approximately 3:06 PM, the Supervisor of Quality Operations confirmed the above findings during the review.

Provide services in the plan of care CFR(s): 484.75(b)(3) Providing services that are ordered by the physician or allowed practitioner as indicated in the plan of care; This ELEMENT is not met as evidenced by: Based on document reviews and interviews, it was determined that the agency failed to ensure that services, by the Home Health Aide, Occupational Therapy and Skilled Nursing were provided in accordance with orders written by the physician and the written plan of care for three (3) of twenty-four (24) records reviewed (Patient #1, #2 and #4). On 3/6/2023 at approximately 1:26 PM, clinical records were reviewed with the Supervisor of Quality Operations This review indicated the following: Patient #1 had a plan of care and physician orders that required the following: The certification period 11/28/2022 to 1/26/2023, a Home Health Aide was required to visit two (2) times weekly, and the Occupational Therapist was required to visit two (2) times weekly, and Per the clinical record, on 11/29/2022, 12/1/2022 and 12/13/2022 no Home Health Aide visits were made. Per the clinical record on 12/30/2022 and 1/3/2023 no Occupational Therapy visits were made. Patient #2 had a plan of care and physician orders that required the following: The certification period 7/29/2022 to 9/26/2022, a Skilled Nurse was required to visit one (1) time weekly, and Per the clinical record, on 8/4/2022, 8/30/2022 and 9/7/2023 no Skilled Nursing visits were made. Patient #4 had a plan of care and physician orders that required the following: The certification period 9/18/2022 to 1/16/2022, a Skilled Nurse was required to visit two (2) time weekly, and Per the clinical record, during the last two (2) weeks of the certification period there were no Skilled Nursing visits made. On 3/6/2023 at approximately 3:06 PM, the Supervisor of Quality Operations confirmed the above findings during the review.