Every finding on record at Maury County

An Emergency Preparedness recertification and re-licensure survey was conducted on 5/11/2026-5/13/2026. The facility meets all of the requirements for Emergency Preparedness. There were no deficiencies identified.

A recertification survey was conducted on 5/11/2026 – 5/13/2026. An entrance conference was held on 5/11/2026 at 9:09 AM with the Manager. An exit conference was held on 5/13/2026 at 1:10 PM with the Manager, and Clinical Supervisor.

Discharge and transfer summaries CFR(s): 484.110(a)(6)(i-iii) (i) A completed discharge summary that is sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the HHA (if any) within 5 business days of the patient's discharge; or (ii) A completed transfer summary that is sent within 2 business days of a planned transfer, if the patient's care will be immediately continued in a health care facility; or (iii) A completed transfer summary that is sent within 2 business days of becoming aware of an unplanned transfer, if the patient is still receiving care in a health care facility at the time when the HHA becomes aware of the transfer. This ELEMENT is not met as evidenced by: Based on policy review, medical record review and interview, the agency failed to ensure a discharge summary was sent to the physician or other healthcare professional responsible for care after discharge within 5 days of discharge for 2 of 19 (Patient #11 and #17) records reviewed. The findings included: 1. Review of the agency's "Discharge Policy/[and] Procedure for Home Services," policy with a revision date of 10/14/2021 revealed, "...The interdisciplinary team members will document appropriate discharge information…The physician is notified of the discharge from services…will fax the discharge summary and the medication list to the primary physician who will be responsible for continued care of the patient..." 2. Medical record review for Patient #11 revealed a Start of Care date of 3/6/2026 with diagnoses which included Nondisplaced Fracture of Greater Trochanter of Right Femur, and Chronic Pain. The agency discharge date was 5/4/2026. Review of the “ConnectFAX Cover Sheet” dated 5/13/2026 revealed Patient #11’s documentation of the discharge summary was sent to the physician. Medical record review for Patient #17 revealed a Start of Care date of 2/3/2026 with diagnoses which included Chronic Obstructive Pulmonary Disease with Acute Exacerbation, and Congestive Heart Failure. The agency discharge date was 3/19/2026. Review of the “ConnectFAX Cover Sheet” dated 3/30/2026 revealed Patient #17’s documentation of the discharge summary was sent to the physician. 3. During an interview in the conference room on 5/13/2026 at 12:36 PM, the Clinical Supervisor stated the discharge summary for Patient #11 and #17 was not sent to the physician within 5 days after discharge.