Every finding on record at Mercy Assisted Care Inc.

An unannounced onsite recertification survey was conducted 9/5/2023 - 9/7/2023 at Mercy Health at Home HHA in Janesville, WI. The agency was found to be in compliance with the Emergency Preparedness regulations for home health, 42 CFR 484.22.

An unannounced onsite recertification survey was conducted 9/5/2023 - 9/7/2023 at Mercy Health at Home HHA in Janesville, WI. The agency was found to be in substantial compliance with the Medicare Conditions of Participation for Home Health, 42 CFR 484. Citation issued at standard level. For a total of 968 unduplicated skilled admissions for the past twelve months, 8 home visits (3 RN, 1 HHA, 3 PT, 1 OT) were conducted and a total of 16 records reviewed.

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 record review and interview the agency staff failed to inform patients of their right to have their complaints regarding treatment and respect for patient rights investigated by the home health agency in 1 of 1 Patient's Rights Statement reviewed. Findings include: Review of "Home Health Care Patient Bill of Rights" included in the Home Health Patient Handbook, not dated, revealed no statement of the patient's right that the Home Health Agency must investigate complaints that the patient, family, or guardian make regarding treatment and respect for patient rights by anyone furnishing services on behalf of the HHA. An interview was conducted with Director A on 9/7/2023 at 10:00 a.m. When asked where this patient right would be found Director A referred to the Home Health Patient Handbook page 20. "Complaints." 'If you believe your privacy rights have been violated, you are encouraged to file a complaint with Mercy Health System Corporation.' Director A stated that he/she believed this specific patient right was evident to patients as it was covered by this specific section.