Every finding on record at Nhc/Op, L.P.

An Emergency Preparedness Survey was conducted on 5/19/2025-5/21/2025 at NHC Homecare Johnson City. No deficiencies were cited under 42 CFR 418.110, Requirements for Home Care Organizations Providing Home Health Services.

A recertification survey was conducted on 5/19/2025-5/21/2025 at NHC Homecare Johnson City. Deficiencies were cited under 42 CFR Part 418.50, Requirements for Home Care Organizations Providing Home Health Services.

Visit schedule CFR(s): 484.60(e)(1) Visit schedule, including frequency of visits by HHA personnel and personnel acting on behalf of the HHA. This ELEMENT is not met as evidenced by: Based on agency policy review, medical record review, and interview, the agency failed to furnish services indicated by the Plan of Care (POC) related to visit frequency for1 patient (#13) of 13 patients reviewed. The findings include: Review of the agency policy titled, "The Home Health Plan of Care," revised 2/2019 showed "...The plan of care shall state the frequency of services needed to meet the patient's needs..." Medical record review revealed Patient #13 was admitted to the agency on 10/10/2024 with diagnoses including Cellulitis of Right Lower Limb, Venous Insufficiency, and Spinal Stenosis. Medical record review of Patient #13's POC for certification period 6/18/2024-8/16/2024 showed Skilled Nurse (SN) visit frequency were 3 times per week for 1 week. Medical record review showed Patient #13 had 2 missed SN visits for the week of 10/6/2024-10/12/2024. During an interview on 5/21/2025 at 10:56 AM, the Clinical Manager confirmed Patient #13 had 2 missed SN visit the week of 10/6/2024-10/12/2024 according to the Plan of Care. The Clinical Manager confirmed the agency is to follow the plan of care for visit frequency.