Every finding on record at Ohio Valley Home Health Services, Inc

EMERGENCY PREPAREDNESS SURVEY At the time of the emergency preparedness survey completed on 07/27/23, Ohio Valley Home Health Services, Inc is in compliance with the provisions of 42 CFR Part 484.102, Conditions of Participation for Home Health Agencies.

Partial Extended Recertification Survey An entrance conference was conducted on 07/24/23 at 8:50 AM with the Director of Nursing. An exit conference was conducted on 07/27/23 at 4:15 PM with administrative staff. The following deficiencies are based on the partial extended recertification survey completed 07/27/23. Ohio Valley Home Health Services, Inc 367134, is not in compliance with the requirements at 42 CFR Part 484, Subpart B, C for Home Health Agencies.

A review of all current medications CFR(s): 484.55(c)(5) A review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with drug therapy. This ELEMENT is not met as evidenced by: Based on record review and staff interview, the agency failed to review all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with drug therapy for one of 13 records reviewed (Patient #9). The census was 70. Findings include: Review of Patient #9's medical record revealed a start of care date of 07/07/23. The patient was receiving physical therapy services only. There was no evidence a registered nurse reviewed the patient's medications as part of the comprehensive assessment. Interview on 07/25/23 at 11:17 AM with Staff B confirmed Patient #9's medications were not reviewed or reconciled by a registered nurse as part of the comprehensive assessment.

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, policy review, and staff interview, the agency failed to ensure services were provided only as ordered by a physician or allowed practitioner for two of 13 records reviewed (Patient #8 and #9). The census was 70. Findings include: 1. Review of Patient #8’s medical record revealed a start of care on 06/24/23. Further review of the patient’s medical record revealed the patient received physical therapy services twice a week from 06/27/23 through 07/24/23. There was no physician order for physical therapy services in the patient’s record. Interview on 07/26/23 at 1:13 PM with Staff B confirmed the findings. 2. Review of Patient #9’s medical record revealed a start of care on 07/07/23. Further review of the patient’s medical record revealed the patient received physical therapy services on 07/12/23, 07/14/23, 07/18/23 and 07/20/23. There was no physician order for physical therapy services in the patient’s record. Interview on 07/25/23 at 11:17 AM with Staff B confirmed the findings.