Every finding on record at Mega Senior Services Inc

During the Health Recertification survey commenced on 04/29/2024 and concluded on 05/01/2024 at Mega Senior Services Inc., a Home Health Agency provider, Emergency Preparedness was reviewed. Mega Senior Services Inc. is in compliance with Emergency Preparedness per 42 Code Of Federal Regulations (CFR) Part 484.102, Condition of Participation for Home Health Agencies.

An unannounced Recertification survey was commenced on 04/29/2024 and concluded on 05/01/2024 at Mega Senior Services, Inc., Home Health Agency provider. The provider was not in compliance with 42 Code Of Federal Regulations (CFR) Part 484 Subpart A-C, Conditions of Participation for Home Health Agencies.

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 record review and interview, the Home Health Agency (HHA) failed to ensure the physician's order was followed for Skilled Nursing and Physical Therapy frequency of visits and failed to ensure the physician was notified of "missed visits" for 2 of 7 sampled patients (Patient #2 and #4). The findings included: 1) Review of the record reveals Patient #2 was admitted to the HHA 's services on 04/04/2024 for the provision of Skilled Nursing and Physical Therapy. Review of the Plan of Care (POC) for the Certification period of 04/04/2024 through 06/02/2024 documents Patient #2 was to receive Physical Therapy services as of 04/04/2024, for one time a week for one week, then, two times a week for eight weeks. Further review reveals for the week 04/07/2024 through 04/13/2024, there was one Physical Therapy visit conducted for that week instead of the physician ordered two visits. There was no "missed visit" documentation in the record, and there was no documented evidence that the "missed visit" was reported to the physician. Further record review reveals for the week 04/14/2024 through 04/20/2024 only one Skilled Nurse visit was conducted instead of the physician ordered 2 visits. There was no "missed visit" documented in the record, and there was no documented evidence that the "missed visit" was reported to the physician. On 04/30/2024 at 11:48 AM, an interview was conducted with the Administrator who acknowledged the findings. 2) Review of the record reveals Patient #4 was admitted to the HHA 's services on 03/11/2024 for the provision of Skilled Nursing. Review of the Plan of Care (POC) for the Certification period of 03/11/2024 through 04/25/2024 documents Patient #4 was to receive Skilled Nursing services as of 03/11/2024, for three times a week for four weeks, then, two times a week for two weeks, then, one time a week for one week. Further review reveals for the week 03/11/2024 through 03/16/2024, there were two Skilled Nursing visits conducted instead of the physician ordered three visits. There was no "missed visit" documented in the record, and there was no documented evidence a "missed visit" was reported to the physician. On 04/30/2024 at 2:30 PM, an interview was conducted with the Administrator who acknowledged the finding.