Every finding on record at Med-Tech Services of Dade Inc

During the recertification survey conducted on 12/14/2021 to 12/15/2021 at Kindred at Home, a Home Health Agency, Emergency preparedness was reviewed. Kindred at Home is in compliance with Emergency Preparedness per Code of Federal (CFR) 42 Part 484.102, Condition of Participation for Home Health Agencies.

A recertification survey was conducted on December 14, 2021 through December 15, 2021 at Kindred at Home. The home health agency was in non-compliance with 42 CFR 484 Subpart A-C, Requirements for Home Health Agencies.

Communication with physicians CFR(s): 484.75(b)(7) Communication with all physicians involved in the plan of care and other health care practitioners (as appropriate) related to the current plan of care; This ELEMENT is not met as evidenced by: Based on clinical record review and staff interview, the provider failed to demonstrate communication is maintained in reporting to the ordering physician changes to the current plan of care for 1 out o13 Sampled Patients (SP). SP#7 Findings include: Clinical record review conducted on 12/15/21 revealed SP#7 has an active Plan of Care with Physical Therapy ordered and to be provided 3wk1 (three times a week for one week), 2wk4 (two times a week for four weeks). Review of the physical therapists assistant visit notes revealed no visit made for scheduled visits 11/05/21, 11/24/21 and 11/26/21; further review revealed no documentation for reason scheduled visit 11/05/21 and 11/24/21 were not provided. Interview conducted with the Administrator on 12/15/21 at 12:58 pm reviewed clinical record and confirmed finding of no reports sent to the ordering physician. The Administrator stated that the physical therapist assistant had failed to write up the missed visit communication in order to send it to the ordering physician.

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 clinical record review and interview, the provider failed to demonstrate the completed discharge summary 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 Home Health Agency (if any) within 5 business days of the patient's discharge for 2 out of 13 Sampled Patients (SP). SP#11 and SP#12 Findings include: Closed records review of SP#11 and SP#12 conducted on 12/15/21 revealed a discharge summary dated 10/31/21 for SP#11 and a discharge summary dated 12/12/21 for SP#12 that were completed with the patient's condition at discharge. The Administrator stated that summaries are sent to the physicians via facsimile (fax) through the software system in order to track. Interview conducted with the Administrator on 12/15/21 at 3:56 PM. The Administrator acknowledged that the provider is unable to demonstrate the discharge summaries for SP#11 and SP#12 were sent to the patients' physician.