Every finding on record at North Care Health Services LLC

Substantial Allegation Survey Substantial Allegation 61287 The following deficiencies are based upon substantial allegation 61287 completed on 12/02/21. North Care Health Services is not in compliance with the requirements found at 42 CFR Part 484, Subpart B, C, Home Health Agencies.

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 medical record review and staff interview the agency failed to ensure the physician orders were followed for home health aide services. This affected one (Patient #3) of three patient medical records reviewed. The agency census was 92. Findings include: Review of the medical record for Patient #3 revealed the patient was admitted to the agency on 01/20/21 with the primary diagnosis of Parkinson’s Disease. Review of the certification period dated 09/17/21 through 11/15/21 indicated the patient was to receive home health aide (HHA) services seven hours a day for 60 days. Review of Patient #3’s HHA timesheets revealed no documented evidence the patient received HHA services from 10/04/21 through 10/09/21. On 10/25/21, the patient only received six hours of HHA services instead of the seven hours as ordered by the physician. There was no documented evidence the agency notified the physician of the missed visit. Interview with Staff A on 12/02/21 at 12:16 PM confirmed the above findings.