Every finding on record at Pennell Healthcare LLC

EMERGENCY PREPAREDNESS SURVEY At the time of the emergency preparedness survey completed on 08/11/21, Pennell Healthcare is in compliance with the provisions of 42 CFR Part 484.102, Conditions of Participation for Home Health Agencies.

Partial Extended Recertification Survey The following deficiencies are based on the partial extended recertification survey completed 08/11/21. Pennell Healthcare is not in compliance with the requirements found at 42 CFR 484, Home Health Agencies. A COVID 19 Focused Infection Control Survey conducted concurrently revealed the facility is in compliance with the requirements at 42 CFR Part 482.42 related to Infection Control.

Provide services in the plan of care CFR(s): 484.75(b)(3) Providing services that are ordered by the physician or allowed practitioner as indicated in the plan of care; This ELEMENT is not met as evidenced by: Based on medical record review, staff interview, and policy review, the facility failed to provide blood glucose monitoring as ordered by the physician on the plan of care. This affected one (Patient #5) of four patient medical records reviewed for blood glucose monitoring. The facility census was 18. Findings include: Review of the medical record for Patient #5 revealed the patient was admitted to the agency on 07/17/17 with the primary diagnosis of type 2 diabetes mellitus with diabetic chronic kidney disease. Review of the certification period dated 06/26/21 through 08/24/21 indicated the patient was to receive skilled nursing services three times a week for nine weeks. Review of the patient's plan of care revealed the nurse was to perform a finger stick for blood glucose analysis every nursing visit. The nurse was to monitor blood sugar levels to assess efficacy of medication and dietary therapy; coordinate care with physician for need to change plan of care. Review of the skilled nursing notes revealed no documented evidence the nurse had performed a blood glucose test for analysis on 06/30/21, 07/02/21, 07/05/21, 07/14/21, 07/16/21, 07/19/21, 07/23/21, 07/28/21, 08/02/21 and 08/04/21. Interview with the Administrator on 08/11/21 at 11:00 AM confirmed the above findings. Review of the agency policy titled "Nursing Services", revised October 2017, revealed nursing care will be provided in accordance with the patient's plan of care.