Every finding on record at Ohio Valley Medex Inc

An Emergency Preparedness Survey was conducted by the Indiana Department of Health in accordance with 42 CFR §484.102 Survey Dates: 01/14/2026 - 01/16/2026 and 01/20/2026 Active Census: 230 At this Emergency Preparedness survey, Ohio Valley Home Health was found to be in compliance with Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers, 42 CFR §484.102. QR Completed on 01/27/2025 by JG

This visit was for a Federal Recertification and State Re-Licensure survey of a Home Health Provider. Survey Dates: 01/14/2026 - 01/16/2026 and 01/20/2026 12-Month Unduplicated Skilled Admissions: 136 Partially Extended on 01/15/2026 at 3:59 PM This deficiency report reflects State Findings cited in accordance with 410 IAC 17. Refer to State Form for additional State Findings. Abbreviations: HHA Home Health Aide RN Registered Nurse LPN Licensed Practice Nurse

Nursing services supervised by RN CFR(s): 484.75(c)(1) Nursing services are provided under the supervision of a registered nurse that meets the requirements of §484.115(k). This ELEMENT is not met as evidenced by: Based on record review and interview, the agency failed to ensure LPN supervision was completed in accordance with agency policy for 6 of 10 clinical records reviewed (Patient #1, #2, #4, #6, #8, and #9). Findings include: Review of a policy titled "Supervisory Visit policy," specified the agency requires patients receiving skilled care (Nursing, Therapy) to receive a supervisory visit at a minimum of every 2 weeks by a RN or qualified therapist, with the LPN/aide to be supervised, present at least every other visit. The clinical record for Patient #1, certification period 01/14/2026 - 03/14/2026, evidenced LPN visits occurred on 01/14/2026, 01/15/2026, 01/16/2026, and 01/19/2026. The record failed to evidence LPN 2 supervision occurred a minimum of every two (2) weeks per agency policy. The clinical record for Patient #2, certification period 12/23/2025 - 02/20/2026, evidenced RN supervision of LPN providing care occurred on 12/18/2025. The record failed to evidence LPN supervision occurs a minimum of every two (2) weeks per agency policy. The clinical record for Patient #4, certification period 12/28/2025 - 02/25/2026, evidenced LPN visits occurred on 01/02/2026, 01/07/2026, and 01/14/2026. The record failed to evidence LPN supervision occurred a minimum of every two (2) weeks per agency policy. The clinical record for Patient #6, certification period 11/07/2025 - 01/05/2026, evidenced LPN visits occurred on 11/11/2025, 11/18/2025, 11/25/2025, 12/2/2025, 12/09/2025, 12/16/2025, and 12/29/2025. The record failed to evidence LPN supervision occurred a minimum of every two (2) weeks per agency policy. The clinical record for Patient #8, certification period 10/22/2025 - 12/20/2025, evidenced LPN visits occurred on 10/24/2025, 10/29/2025, 10/31/2025, 11/03/2025, 11/05/2025, 11/07/2025, 11/12/2025,11/17/2025,11/21/2025, 11/28/2025, and 12/03/2025. The record failed to evidence LPN supervision occurred a minimum of every two (2) weeks per agency policy. The clinical record for Patient #9, certification period 08/01/2024 - 08/09/2024, evidenced LPN visits occurred on 08/07/2024. The failed to evidence LPN supervision occurred a minimum of every two (2) weeks per agency policy. During an interview on 01/20/2026 at 10:01 AM, the Alternate Administrator/Director of Nursing indicated she was unsure why Patient #6 did not have LPN supervisory visits in the clinical record. During an interview on 01/20/2026 at 10:47 AM, the Alternate Administrator/Director of Nursing indicated she was unsure why Patient #8 did not have LPN supervisory visits in the clinical record. During an interview on 01/20/2026 at 4:10 PM, the Alternate Administrator/Director of Nursing indicated she was unaware the agency policy indicated LPN supervisory visits are to be completed every 2 weeks for patients receiving skilled services. 17-14-1(a)(1)(J)

Onsite supervisory visit every 14 days CFR(s): 484.80(h)(1)(i) (1)(i) If home health aide services are provided to a patient who is receiving skilled nursing, physical or occupational therapy, or speech language pathology services— (A) A registered nurse or other appropriate skilled professional who is familiar with the patient, the patient's plan of care, and the written patient care instructions described in paragraph (g) of this section, must complete a supervisory assessment of the aide services being provided no less frequently than every 14 days; and (B) The home health aide does not need to be present during the supervisory assessment described in paragraph (h)(1)(i)(A) of this section. This ELEMENT is not met as evidenced by: Based on record review and interview, the agency failed to ensure HHA supervisory visits were completed every 14 days for patients receiving skilled professional services for 4 of 10 clinical records reviewed (Patient #1, #2, #4, and #10). Findings include: Review of a policy titled "Supervisory Visit policy," specified the agency requires patients receiving skilled care (Nursing, Therapy) to receive a supervisory visit at a minimum of every 2 weeks by a RN or qualified therapist, with the LPN/aide to be supervised, present at least every other visit. The clinical record for Patient #1, certification period 01/14/2026 - 03/14/2026, evidenced HHA visits occurred at two (2) times on 01/14/2026, two (2) times on 01/16/2026, two (2) times on 01/17/2026, two (2) times on 01/18/2026, and two (2) times on 01/19/2026. The record failed to evidence HHA supervision occurred a minimum of every fourteen (14) days for patients receiving skilled services. The clinical record for Patient #2, certification period 12/23/2025 - 02/20/2026, evidenced HHA visits occurred on 12/23/2025, 12/25/2025, 12/26/2025, 12/27/2025, 12/28/2025, 12/29/2025, 12/30/2025, 01/01/2026, 01/02/2026, 01/03/2026, 01/04/2026-01/10/2026, 01/11/2026-01/17/2026, and 01/18/2026-01/20/2026. The record failed to evidence HHA supervision occurred a minimum of every fourteen (14) days for patients receiving skilled services. The clinical record for Patient #4, certification period 12/28/2025 - 02/25/2026, evidenced HHA visits occurred on 12/29/2025, 12/30/2025, 01/02/2026, 01/05/2026, 01/06/2026, 01/07/2026, 01/08/2026, 01/09/2026, 01/12/2026, 01/14/2026, 01/15/2026. The record failed to evidence HHA supervision occurred a minimum of every fourteen (14) days for patients receiving skilled services. The clinical record for Patient #10, certification period 06/11/2024 - 08/19/2024, evidenced HHA visits occurred daily between the following timeframes 06/11/2024-06/15/2024, 06/17/2024-06/21/2024, and 06/24/2024-06/29/2024. The record failed to evidence HHA supervision occurred a minimum of every fourteen (14) days for patients receiving skilled services. During an interview on 01/15/2026 at 3:59 PM, the Administrator and Alternate Administrator/Director of Nursing indicated HHA supervisory visits are not being performed every 14 days for patients receiving skilled services. 17-14-1(n)