Every finding on record at Pf Development 7, LLC

An entrance conference was conducted for a Relicensure and Recertification Survey with the Administrator/ Owner on 7/18/2023 at 2:40 p.m. Census: 83 Licensed and Certified Home Health: 28 Licensed Home Health: 55 Personal Assistant Services: 0 Hospice:0 Exit conference was conducted on 7/21/2023 at 3:30 p.m. with the Administrator and Assistant Administrator. The preliminary findings were discussed. The agency was afforded the opportunity to provide additional information. No deficiencies were cited. The agency was in substantial compliance with 42 CFR Part 484.102 Emergency Preparedness Requirements for Home Health.

An entrance conference was conducted for a Relicensure and Recertification Survey with the Administrator/ Owner on 7/18/2023 at 2:40 p.m. Census: 83 Licensed and Certified Home Health: 28 Licensed Home Health: 55 Personal Assistant Services: 0 Hospice:0 Exit conference was conducted on 7/21/2023 at 3:30 p.m. with the Administrator and Assistant Administrator. The preliminary findings were discussed. The agency was afforded the opportunity to provide additional information. Written instructions were provided for submitting a plan of correction within 10 days of the receipt of the Statement of Deficiencies.

Communication with all physicians CFR(s): 484.60(d)(1) Assure communication with all physicians or allowed practitioners involved in the plan of care. This ELEMENT is not met as evidenced by: Based on observation, record review and interview, the agency failed to ensure that the communication of services provided was communicated to the patient’s primary physician for one of twelve active clients (Patient#1) whose records were reviewed, in that: Patient #1's Plan of Care and physician orders did not reflect that fact the patient is currently receiving in home peritoneal dialysis (A treatment for when the kidneys don’t work any longer and uses the lining of the belly through an external tube to filter the blood insider your body). This deficient practice places the agency's clients at risk for receiving inadequate service delivery and could lead to miscommunication among all care providers. The findings included: During a home visit with Patient #1 at 11: 00 am on 7/19/2023, Patient #1’s stated that he received peritoneal dialysis via a tube through his stomach daily to replace going to outpatient dialysis. His spouse assists with the peritoneal dialysis daily. Patient #1 states that the dialysis center has a visiting nurse that visit him “every two months.” Review of Client #1's clinical record revealed a SOC date of 4/25/23 for a POC certification period from 6/24/2023 through 8/22/2023 with a diagnosis of would on the right foot, diabetes, and kidney failure and a skilled nurse frequency for wound care three times weekly for eight weeks, then one visit for one week. Review of the 485 (Plan of Care orders), dated 6/19/2023, revealed no evidence of patient receiving in home dialysis. Review of the addendum orders in the clinical record, dated 6/27/2023, 7/3/2023, and 7/17/2023 revealed no evidence of patient receiving in home dialysis. Review of the agency’s coordination notes, dated 7/19/2023, revealed no evidence of the agency communicating or attempting to communicate with the primary physician. During an interview with the Administrator on 7/20/2023 at 11:50 a.m., the Administrator was informed of the above findings. The Administrator acknowledged the discrepancy on the order. The Administrator was asked if the primary physician for Patient #1 was informed of the dialysis in which she stated, “No.” The Administrator further stated that Patient #1 began dialysis on 7/14/2023 and the agency has not received any orders at this time. Review of the agency’s policy titled, “Case Communication” dated 11/2022, revealed “Communication with other team members may be face to face, via phone, other telecommunication technology or secure email…all contact with the patient’s physician…Communication with the patient’s physician must occur regarding the patients progress...significant changes in condition…and coordination of orders from any consulting physician/allowed practitioner…”