Every finding on record at Perfect Home Health Care Services, LLC

A Medicare recertification survey was conducted by the Michigan Department of Licensing and Regulatory Affairs from 9/1/2021 through 9/8/2021 at: Perfect Home Health Care Services LLC. 31700 West 13 Mile Rd. Suite 110 Farmington Hills, MI 48334 This was a standard survey. The requirements for participation in Medicare at 42 CFR 484.102 Emergency Preparedness were not reviewed.

A Medicare recertification survey and a focused infection control survey was conducted by the Michigan Department of Licensing and Regulatory Affairs from 9/1/2021 through 9/8/2021 at: Perfect Home Health Care Services LLC. 31700 West 13 Mile Rd. Suite 110 Farmington Hills, MI 48334 This agency has no branches or subunits. For this survey 3 home visits with record reviews, 2 active records without a home visit and 2 discharged records were reviewed. At the conclusion of the survey the agency was found to be out of compliance with standard level deficiencies for the conditions of participation at: 42 CFR Part 484, 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 interview, the agency failed to ensure the registered nurse conducted a review of the patients' medications for any potential adverse effects such as: side effects, drug interactions, and duplicate drug therapy for 3 of 7 (MR# 1, 4 and 6) records reviewed with therapy only services. This deficient practice resulted in the potential for unrecognized adverse effects due to medications that could affect all agency patients. Findings include: MR#1: This patient was admitted to the agency on 4/5/2021, with diagnoses of Parkinson's disease and pain. The comprehensive assessment was completed by PT#1 (physical therapist) on 4/5/2021. During record review on 9/1/2021, it was noted that the medication review was acknowledged and signed by PT#1 on 4/5/2021. There was no documented evidence that the patient's medications had been reviewed by a registered nurse. During an interview on 9/8/2021 at 3:20 p.m., the administrator (Adm#1) stated, "When it's a PT only case, then the PT reviews the patient's medications. A nurse does not review the medications." MR#4: This patient was admitted to the agency on 8/3/2021, with diagnoses of hemiplegia, hypertension, Hepatitis C and pain. The comprehensive assessment was completed by PT#1 (physical therapist) on 8/3/2021. During record review on 9/3/2021, it was noted that the medication review was acknowledged and signed by PT#1 on 8/3/2021. There was no documented evidence that the patient's medications had been reviewed by a registered nurse. During an interview on 9/8/2021 at 3:20 p.m., the administrator (Adm#1) stated, "When it's a PT only case, then the PT reviews the patient's medications. A nurse does not review the medications." MR#6: This patient was admitted to the agency on 8/18/2021, with diagnoses of polyosteoarthritis, hypertension, cerebral infarct and pain. The comprehensive assessment was completed by PT#1 (physical therapist) on 8/18/2021. During record review on 9/3/2021, it was noted that the medication review was acknowledged and signed by PT#1 on 8/18/2021. There was no documented evidence that the patient's medications had been reviewed by a registered nurse. During an interview on 9/8/2021 at 3:20 p.m., the administrator (Adm#1) stated, "When it's a PT only case, then the PT reviews the patient's medications. A nurse does not review the medications."