Every finding on record at Mederi Caretenders

During the Recertification survey commenced on 11/16/2021 and concluded on 11/17/2021 at Mederi Caretenders, a Home Health Agency, Emergency Preparedness was reviewed. Mederi Caretenders is in compliance with Emergency Preparedness per Code of Federal Regulations (CFR) 42, Part 484.102, Condition of Participation for Home Health Agencies.

An unannounced Recertification survey was commenced on 11/16/2021 and concluded on 11/17/21 at Mederi Caretenders, Home Health Agency provider located at 4 Harvard Circle Ste. 950 West Palm Beach, FL 33409 . The Home Health Agency was not in compliance with 42 CFR Part 484 Subpart A-C, Conditions of Participation for Home Health Agencies.

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 record review and interview, the Home Health Agency (HHA) failed to follow the physician's frequency orders for 2 of 7 sampled patients (Patient #2 and Patient #7). The findings included: 1. Review of the record reveals Patient #2 was admitted to the HHA’s services on 09/24/21 for the provision of Skilled Nursing. Review of the Plan of Care, for the certification period, 09/24/21 through 11/22/21 reveals the following Skilled Nurse frequency; Week One, 2 times a week for 1 week. Week Two, 7 times a week for 1 week. Week Three, 5 times a week for 1 week. Week Four, 2 times a week for 6 weeks and 2 as needed visits. Review of the patient's record reveals evidence that documents extra Skilled Nursing visits were conducted and the frequency order of 2 times a week for 6 weeks was not followed. On 10/10-10/16/21, there were 5 Skilled Nursing visits conducted. On 10/17-10/23/21, there were 7 Skilled Nursing visits conducted. On 10/24-10/30/21, there were 7 Skilled Nursing visits conducted. During an interview, on 11/16/21 at 2:53 PM, the Executive Director/Registered Nurse was made aware of the frequency concerns and acknowledged the findings. 2. Review of the record reveals Patient #7 was admitted to the HHA’s services on 11/27/20 for the provision of Skilled Nursing (SN) and Physical therapy (PT) services. The Plan of Care for the certification period 11/27/20 through 01/25/21 reveals a Physical therapy frequency, as of 11/29/20, two times a week for 4 weeks, and 1 time a week for 4 weeks. Review of the patient's record reveals the PT physician's orders were not followed; on Week 4, 12/20-12/26/20, there was no evidence of PT visits conducted; for the frequency order of 1 time a week for 4 weeks, there was no evidence of PT visits from 12/27/20-01/02/21. Continued review of the patient's record reveals there was no evidence of "Missed Visits" documented in Patient #7’s record. On 11/17/21 at 12:05 PM, during an interview, the Executive Director/Registered Nurse acknowledged the findings.