Every finding on record at Omnicare Home Healthcare Agency, LLC

Substantial Allegation Survey Substantial Allegation 70877 An entrance conference was conducted on 07/18/22 at 10:16 AM with the Director of Nursing, and an exit conference was conducted on 07/20/22 at 3:00 PM with administrative staff. No deficiencies were cited related to allegation(s) contained in substantial allegation 70877 completed on 07/20/22; however, the facility was found not to be in compliance with all requirements for Home Health Agency participation and the following deficiencies are cited. Omnicare Home Healthcare Agency, LLC 368049, is not in compliance with the requirements found at 42 CFR Part 484, Subpart B, C for Home Health Agencies.

Provide contact info other services CFR(s): 484.50(d)(5)(iii) (iii) Provide the patient and representative (if any), with contact information for other agencies or providers who may be able to provide care; and This ELEMENT is not met as evidenced by: Based on medical record review, policy review and interview, the agency failed to provide the patient with contact information for other agencies or providers who may be able to provide care for one patient of five medical records reviewed (Patient #1). The agency's census was 15. Findings include: The agency's policy titled, Discharge Criteria 9.29.1, revised 2009, was reviewed. It revealed the following: 1. Patient will be discharged from services as follows: • Services can no longer be provided safely and/or effectively in the patient's place of residence (patient's physician will be consulted for alternative follow up care and/or referral). 2. The patient is informed of discharge plan in a timely manner and acknowledge understanding reason. 3. Physician and other care providers will be informed and knowledgeable of discharge. 4. Discharge planning begins at time of admission and will be reflected in the documentation. 5. Staff will be knowledgeable about discharge procedures including instructions and follow-up responsibilities. 6. The patient's continuing care needs, if any, are assessed at discharge. Review of Patient #1's medical record revealed she was discharged from the agency on 05/17/22 for cause. The medical record did not contain documented evidence that the agency provided Patient #1 with information including contact numbers for other community resources and names of other agencies or providers that may be able to provide services to the patient. The findings were confirmed with Staff A in an interview on 07/20/22 at 12:32 PM.

Document efforts to resolve problems CFR(s): 484.50(d)(5)(iv) (iv) Document the problem(s) and efforts made to resolve the problem(s), and enter this documentation into its clinical records; This ELEMENT is not met as evidenced by: Based on medical record review, policy review and interview, the agency failed to document the problem(s) and efforts made to resolve the problem(s), and enter this documentation into the clinical records for one patient of five medical records reviewed (Patient #1). The agency's census was 15. Findings include: The agency’s policy titled Discharge Criteria 9.29.1, revised 2009, was reviewed. It revealed the following: 1. Patient will be discharged from services as follows: • Services can no longer be provided safely and/or effectively in the patient's place of residence (patient's physician will be consulted for alternative follow up care and/or referral). 2. The patient is informed of discharge plan in a timely manner and acknowledge understanding reason. 3. Physician and other care providers will be informed and knowledgeable of discharge. Review of Patient #1's record revealed she was discharged from the agency on 05/17/22 for cause. The medical record did not contain documentation regarding problems and efforts to resolve the problems for Patient #1. Staff A was interviewed on 07/20/22 at 12:32 PM and reported the agency spoke with Patient #1's Case Manager practically everyday regarding Patient #1's behavior. Staff A reported Patient #1's environment had a flea infestation. Staff A reported Patient #1 requested Staff B to dye the patient's hair, and then accused Staff B of stealing the hair dye. Staff A reported Patient #1's Case Manager was aware the agency would no longer be able to provide services for Patient #1 due to Staff B refused to return to the case and the agency did not have additional aides to service the patient. Staff A confirmed the patient's record did not contain documentation regarding the problems and efforts to resolve the problems with Patient #1.