Every finding on record at Owensboro Health Home Care

An on-site Recertification Survey initiated on 01/16/2025 and concluded on 01/22/2025, resulted in a finding of no deficiency citations respective to the Emergency Preparedness Program Condition of Participation under 42 CFR 484.102.

An on-site Recertification Survey initiated on 01/16/2025 and concluded on 01/22/2025, resulted in a finding of substantial compliance respective to the applicable Conditions of Participation (CoPs) under 42 CFR 484, Subparts A through C with the following standard-level deficiencies listed below.

Plan of care CFR(s): 484.60(a)(1) Each patient must receive the home health services that are written in an individualized plan of care that identifies patient-specific measurable outcomes and goals, and which is established, periodically reviewed, and signed by a doctor of medicine, osteopathy, or podiatry acting within the scope of his or her state license, certification, or registration. If a physician or allowed practitioner refers a patient under a plan of care that cannot be completed until after an evaluation visit, the physician or allowed practitioner is consulted to approve additions or modifications to the original plan. This STANDARD is not met as evidenced by: Based on interview, record review, and agency policy review, the agency failed to provide services as ordered in the patient’s plan of care (POC, a comprehensive plan that included medications and interventions that guided the staff in the provision of patient care) for 1 (Patient #2) of 17 patients. This failure had the potential for care providers to not assess or respond to the patient’s health needs. The findings include: An agency policy titled, “Plan of Care/Treatment, 600-HC-300,” last revised 01/2020, revealed, “6. Home care provides the patient with care, treatment, or services according to his/her individualized plan of care.” Patient #2’s “Home Health ROC Plan of Care,” dated 01/01/2025 revealed the agency admitted Patient #2 on 12/10/2024 with diagnoses that included acute and chronic respiratory failure with hypercapnia (a condition where the respiratory system cannot adequately remove carbon dioxide from the body). Per the Home Health ROC Plan of Care, Patient #2’s physician ordered the agency to provide one physical therapy (PT) visit and one occupational therapy (OT) during the period of 01/02/2025 and 01/04/2025. Patient #2’s clinical record revealed no evidence to indicate the agency provided a PT and OT visit to Patient #2 from 01/02/2025 through 01/04/2025. During an interview on 01/17/2025 at 3:00 PM, Registered Nurse #1 stated the agency expectation was staff provided care to patients as ordered in the patient’s POC. During an interview on 01/22/2025 at 11:30 AM, the Supervisor stated the agency expected staff to deliver services to patients as ordered in the patient’s POC, unless the patient refused the visit. The Supervisor stated the agency did not provide Patient #2 a PT or OT visit as ordered from 01/02/2025 through 01/04/2025. During an interview on 01/22/2025 at 11:42 AM, the Home Care Manager (HCM) stated the agency expectation was staff would provide services to patients as ordered in the patient’s POC. The HCM confirmed the agency did not provide Patient #2 therapy services as ordered in the patient’s POC, and acknowledged the agency did not follow their policy.