Every finding on record at Premium Home Health Care, Inc

During the recertification survey conducted on 02/06/2024 to 02/02/2024 at Premium Home Health Care Inc., a Home Health Agency, Emergency Preparedness was reviewed. Premium Home Health Care, Inc. is in compliance with Emergency Preparedness per Code of Federal Regulations (CFR) 42 Part 484.102, Condition of Participation for Home Health Agencies.

A recertification survey was conducted on 02/06/2024 to 02/08/2024 at Premium Home Health Care Inc. The home health agency was in non-compliance with 42 Code of Federal Regulations (CFR) 484 Subpart A-C, Requirements for Home Health Agencies.

Discharge and transfer summaries CFR(s): 484.110(a)(6)(i-iii) (i) A completed discharge summary that is sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the HHA (if any) within 5 business days of the patient's discharge; or (ii) A completed transfer summary that is sent within 2 business days of a planned transfer, if the patient's care will be immediately continued in a health care facility; or (iii) A completed transfer summary that is sent within 2 business days of becoming aware of an unplanned transfer, if the patient is still receiving care in a health care facility at the time when the HHA becomes aware of the transfer. This ELEMENT is not met as evidenced by: Based on record review and interview the agency failed to have completed discharge summaries in 2 out of 7 Sampled Patients (SP). SP#2 and SP#3. Findings include: The Surveyor completed closed record reviews of the SP#2 and SP#3 on 02/06/2024 to 02/08/2024. The SP#2 contained a discharge summary from the agency with a discharge date of 02/05/2024: and SP#3 contained a discharge summary from the agency with a discharge date 08/23/2024. The discharge summaries for SP#2 and SP#3 omitted information such as admission and discharge dates, physician responsible for plan of care, reason for admission to home health, type and frequency of services, laboratory data (if applicable), medications the patient is on at the time of discharge, patients discharge condition, patient outcomes in meeting the goals in the plan of care and patient and family post discharge instructions. The Surveyor conducted an interview with the Director of Nursing and administrator on 02/08/2024 at 11:22am and they acknowledged that the summaries for SP#2 and SP#3 were incomplete, missing the required notations as previously mentioned.