Every finding on record at Marimart Health Care Plus LLC

Substantial Allegation Survey Substantial Allegation OH00118990 An entrance conference was conducted on 01/14/21 with the Administrator and Director of Nursing, and an exit conference was completed on 01/26/21 with the Director of Nursing. The following deficiency was based upon substantial allegation OH00118990 completed on 01/26/21. Marimart Health Care Plus LLC 368272, is not in compliance with the requirements found at 42 CFR Part 484, Subpart B, C for Home Health Agencies.

Investigate complaints made by patient CFR(s): 484.50(e)(1)(i) (i) Investigate complaints made by a patient, the patient's representative (if any), and the patient's caregivers and family, including, but not limited to, the following topics: This ELEMENT is not met as evidenced by: Based on medical record review, policy review, and staff interview, the agency failed to investigate a patient's complaint for one of four patients whose medical records were reviewed (Patient #1). The census was 50. Findings include: Review of the medical record for Patient #1 was completed on 01/21/21, and the certification period reviewed was 12/18/20 to 02/15/21. The patient's primary diagnosis was hypertensive heart disease, and the start of care was 10/19/20. The plan of care included skilled nursing visits twice daily for nine weeks, and home health aide visits 42 hours per week for nine weeks. Review of the home health aide time sheets revealed Staff C, who was the patient's granddaughter, provided services to the patient up until 12/31/2020. A skilled nursing visit note dated 12/30/2020 revealed the patient complained to the nurse that she suspected her granddaughter and the granddaughter's boyfriend of spending the patient's money. Review of a complaint dated 12/30/2020 revealed the patient complained to the nurse that she suspected the granddaughter and the granddaughter's boyfriend of spending the patient's money. Also, the complaint revealed the patient could not get access to a phone because the granddaughter did not want the patient communicating with anyone outside of the home. Review of a communication note dated 12/31/2020 revealed the granddaughter was interviewed by the agency and denied the accusations by the patient. Review of another communication note dated 12/31/2020 revealed a new aide was scheduled to start on 01/01/21. An interview with the Staff A and Staff B on 01/14/21 at 3:55 PM confirmed the patient's granddaughter was an employee of the agency, and that she provided home health aide services to the patient. The granddaughter was still employed by the agency, although the staff member had no cases at the time. The granddaughter allegedly used the patient's money and the patient requested not to have the granddaughter provide home health aide services to the patient. The agency also felt the granddaughter was negatively influenced by the boyfriend of the granddaughter. The agency found a new home health aide for the patient and the granddaughter only had one case during employment, the patient. An interview with the Staff B on 01/20/21 at 11:25 AM confirmed the agency would give the granddaughter another case if need be, but the agency had not had a need to do so. The investigation regarding the alleged misappropriation of the patient's money was still pending. The patient did not file a police report according to the Staff B. Review of the undated agency policy titled, Abuse/Neglect revealed under the section "Investigating and Protecting" the agency was to invetigate incidents and allegations in a timely manner. The policy also stated that if the offender was a family member or visitor/acquaintance, the police were to be notified. The policy did not define "timely manner." The patient complained on 12/30/2020 and the results of the investigation were still pending, over three weeks later. There was no evidence the agency notified police of the patient's complaint in accordance with their policy.