Every finding on record at Peritech Home Health Associates, Inc.

Based on the findings of an onsite unannounced Medicare recertification and State relicensure survey completed 3/15/2021, Peritech Home Health Associates Inc. was found to be in compliance with the requirement of 42 CFR, Part 484.22, Subpart B, Conditions of Participation: Home Health Agencies - Emergency Preparedness.

Based on the findings of an onsite unannounced Medicare recertification and state relicensure survey completed on 3/15/2021, Peritech Home Health Associates Inc. was found not to be in compliance with the following requirements of 42 CFR, Part 484, Subparts B and C, Conditions of Participation: Home Health Agencies.

Development and evaluation of plan of care CFR(s): 484.75(b)(2) Development and evaluation of the plan of care in partnership with the patient, representative (if any), and caregiver(s); This ELEMENT is not met as evidenced by: Based on review of agency policy, medical records (MR) reviews and staff (EMP) interview the agency failed follow the agency policy to revise the plan of care (POC) related to therapy services as needed for two (2) of seven (7) MR reviewed (MR1 and MR6). Findings included: Review of the agency policy and procedures was reviewed on 3/12/2021 at approximately 10:00 AM revealed, "POLICY #205...Ancillary Services/DME...For all patient who received ancillary services (PT, OT, Speech, Vision or Hearing Therapy) the nurse performing visits or PPD Case Manager will ensure that all orders related to therapies to be performed by (Agency) staff are placed on the Plan of Care with corresponding goals as appropriate. The PPD nurse (LPN or RN) will coordinate with the therapists during visits to insure understanding of procedures, exercise, equipment, and safety protocols. The PPD nurse (LPN or RN) will document therapy interventions when performed on the appropriate forms and will report to the RN case Manager or Clinical Manager any issues, problem, or changes in orders related to therapies so new orders may be written, if needed. The Case Manager will maintain contact with the Ancillary services provider on an as-needed. The Case Manager will maintain contact with the ancillary services provider on an as-needed basis via telephone, in person or in writing as appropriate..." Review of MR1 on 3/10/2021 at approximately 9:50 AM start of care date 10/25/2019 certification period 2/16/2021 to 4/16/2021 revealed, a "PEDIATRIC ASSESSMENT Completion on: 2/11/2021...General Notes...(patient) received PT, OT and ST Virtually..." Review of the plan of care (POC) revealed staff failed to update the POC with ancillary therapy services orders and/or goals being provided to the patient. Review of MR6 on 3/10/2021 at approximately 1:40 PM start of care date 4/1/2018 certification period 1/22/2021 to 3/22/2021 revealed, a "PLAN OF TREATMENT...60 Day Clinical Summary...(patient) continues to received therapies in the home and/or via telehealth..." (date of signature 1/18/2021) Review of the plan of care (POC) revealed staff failed to update the POC with ancillary therapy services orders and/or goals being provided to the patient. A review of the findings was conducted on 3/12/2021 at approximately 2:30 PM with the CEO and corporate clinical administrator.