Every finding on record at Providence Home Health Care, Inc

Recertification survey completed. Standard level deficiencies cited. A Focused infection control survey was conducted on 4/15/2021. The Facility was in compliance with the requirements for Infection Control for COVID-19. Abbreviations: AM= Morning PM= Afternoon Pt./Pts. = Patient/Patients SOC= Start of Care

Payment from federally funded programs CFR(s): 484.50(c)(7)(i, ii, iii, iv) Be advised, orally and in writing, of- (i) The extent to which payment for HHA services may be expected from Medicare, Medicaid, or any other federally-funded or federal aid program known to the HHA, (ii) The charges for services that may not be covered by Medicare, Medicaid, or any other federally-funded or federal aid program known to the HHA, (iii) The charges the individual may have to pay before care is initiated; and (iv) Any changes in the information provided in accordance with paragraph (c)(7) of this section when they occur. The HHA must advise the patient and representative (if any), of these changes as soon as possible, in advance of the next home health visit. The HHA must comply with the patient notice requirements at 42 CFR 411.408(d)(2) and 42 CFR 411.408(f). This ELEMENT is not met as evidenced by: . A. Based on a review of clinical records and staff interview, it was determined the Agency failed to ensure Pts. are advised of the extent of their financial liability for care, and/or services before care is initiated. This was found in 7 of 7 (Pts. #1, 2, 3, 4, 5, 6 and 7) clinical records reviewed. Findings include: 1. The following clinical records were reviewed on 4/12/21 and 4/14/21 between 2:00 PM to 10:00 AM: Pt. #1 SOC: 02/16/21 Pt. #2 SOC: 02/02/21 Pt. #3 SOC: 03/19/21 Pt. #4 SOC: 03/29/21 Pt. #5 SOC: 08/19/20 Pt. #6 SOC: 02/01/19 Pt. #7 SOC: 09/07/20 The records included a form titled: "Consent for Treatment, Acknowledgment and Financial Agreement", with a section titled: "Patient Liability for Payment." The section lacked documentation indicating the patients' financial responsibility. 2. During an interview with the Agency Supervisor on 4/15/21 at 11:00 AM it was confirmed staff failed to ensure the Pt. was aware of their financial liability at the SOC.

Services provided by HH aide CFR(s): 484.80(g)(2) A home health aide provides services that are: (i) Ordered by the physician or allowed practitioner; (ii) Included in the plan of care; (iii) Permitted to be performed under state law; and (iv) Consistent with the home health aide training. This ELEMENT is not met as evidenced by: . A. Based on a review of clinical records and staff interview, it was determined the Agency failed to ensure the Home Health Aide provided services, as directed on the Home Health Aide Care Plan. This was found in 2 of 4 (Pts. #1 and 7) clinical records reviewed, wherein the Pt. received Home Health Aide services. Findings include: 1. Pt. #1. SOC 2/16/21. Primary Diagnosis: Type 2 Diabetes Mellitus with Diabetic Neuropathy, Unspecified. The clinical record was reviewed on 4/13/21 at 12:30 PM. The record contained the "Aide Care Plan" completed by the Registered Nurse and dated 2/16/21. The Plan required the Home Health Aide to provide the following personal care every visit: "Complete bath, shower, pericare ..." Pt. #1's "Aide visit notes" dated 2/19/21, 2/26/21, 3/1/21, 3/8/21, 3/15/21, 3/22/21, 3/29/21 and 4/5/21 lacked documentation the Home Health Aide provided complete bath and pericare during those visits. 2. Pt. #7. SOC 9/7/20. Primary Diagnosis: Essential Primary Hypertension. The clinical record was reviewed on 4/14/21 at 10:00 AM. The record contained the "Aide Care Plan" completed by the Registered Nurse and dated 11/6/20. The Plan required the Home Health Aide to provide the following personal care every visit: " Tub." Pt. #7's "Aide visit notes" dated 11/11/20, 11/16/20, 11/26/20, 12/3/20, 12/9/20, 12/18/20, 12/23/20 and 12/30/20, included documentation that Pt. #7 received "shower" from the Home Health Aide during visits. The Aide Care Plan requires Home Health to provide "tub" baths and does not require the Aide to provide showers. 3. During an interview with the Agency Supervisor and the Clinical Manager/Registered Nurse on 4/14/21 at 3:00 PM, the administrative staff confirmed the above findings.