Every finding on record at Miracle Home Health of Wisconsin, Inc.

An unannounced, federally authorized onsite Complaint survey was conducted on 11/29/2023 - 01/12/2024 at Miracle Home Health of Wisconsin in Glendale, WI in response to complaint WI102114. Miracle Home Health was found to be in compliance with the Medicare Conditions of Participation 42 CFR 484 for Home Health. Citations are issued at a standard level or below. Complaint WI 102114 is substantiated. A total of 10 clinical records were reviewed.

Only as ordered by a physician CFR(s): 484.60(b)(1) Drugs, services, and treatments are administered only as ordered by a physician or allowed practitioner. This ELEMENT is not met as evidenced by: Based on record review and interview, the agency failed to follow physician visit frequency orders as indicated on the plan of care in 1 of 10 patient records reviewed (Patient #1). Findings include: Record review of Patient #1's "Home Health Certification and Plan of Care" orders, dated 8/24/23-10/22/23 and 10/23/23-12/21/2023, revealed "SN (Skilled Nursing) 3 visits weekly for 1 certification period starting 8/24/23. Patient #1's record showed no evidence that 3 weekly SN visits were made during the weeks of 10/01/2021-10/7/23 and 10/8/23-10/14/23. Patient #1 nurses note dated 10/6/23, "patient not seen due to discrepancies in patient schedule." Patient #1 nurses note dated 10/9/23 "patient not seen due to discrepancies in patient schedule." Patient #1 nurses note dated 10/10/23 "Lack of communication to the agency and agency was not aware patient was not covered." When asked Operations Manager B about missed visits on 10/6/23 and 10/9/23 on Patient #1; Operations Manager B stated on 1/12/2024 at 2:00 pm, "These visits were missed because the Case Manager stated she had arranged coverage. However, the arranged covering nurse did not make these visits and did not communicate to the agency that the visits were not provided. During an interview with Operations Manager B on 11/29/2023 at 1:25 PM, when asked about the agency process for missed visits documentation, B replied "Missed visits are documented as missed visits, manager reviews missed visits.