Every finding on record at Pruitthealth Home Health, Inc.

A survey of the Home Health Agency's (HHA) Emergency Preparedness Program (EPP) was conducted from 10/25/2021 to 10/28/2021. Based on observations, record reviews, interviews, and review of the HHA's EPP, it was determined the HHA’s EPP was in compliance with Conditions of Practice 42 CFR 484.102.

A survey of the Home Health Agency (HHA) was conducted in conjunction with the COVID-19 focused Infection Control requirements from 10/25/2021 to 10/28/2021. Based on observations, record reviews, interviews, and review of the HHA’s policy and procedures, it was determined the HHA had standard level deficiencies at 42 CFR PART 484 (Home Health).

Plan of care CFR(s): 484.60(a)(1) Each patient must receive the home health services that are written in an individualized plan of care that identifies patient-specific measurable outcomes and goals, and which is established, periodically reviewed, and signed by a doctor of medicine, osteopathy, or podiatry acting within the scope of his or her state license, certification, or registration. If a physician or allowed practitioner refers a patient under a plan of care that cannot be completed until after an evaluation visit, the physician or allowed practitioner is consulted to approve additions or modifications to the original plan. This STANDARD is not met as evidenced by: Based on record review and interview, the agency staff failed to show all goals listed on the Plan of Care (POC) as measurable in 13 out of 17 charts reviewed (Patient #1, 2, 3, 5, 9, 10, 11, 12, 13, 14, 15, 16, and 17). Patient #9 On 10/25/2021 at 2:07 PM, a review of Patient #9’s chart reveals the POC has goals which are not measurable (Patient will demonstrate sage gait technique with assistive devices). This finding is verified by the Case Manager (CM) on 10/28/2021 at 2:14 PM. Patient #10 On 10/25/2021 at 2:32 PM, a review of Patient #10’s chart reveals the POC has goals which are not measurable (Physical therapy evaluation will be completed, occupational therapy evaluation will be completed, a plan of care will be established that meets the patient’s nursing needs, physical therapy POC will be ordered, demonstrate safe transfers, and occupational therapy will be completed). This finding is verified by the CM on 10/28/2021 at 2:16 PM. Patient #11 On 10/25/2021 at 2:49 PM, a review of Patient #11’s chart reveals the POC has goals which are not measurable (Physical therapy evaluation will be completed, occupational therapy evaluation will be completed, speech therapy evaluation will be completed, physical therapy POC will be ordered, demonstrate improved function to specific exercised, demonstrate safe transfers, demonstrate reduced fall risk, demonstrate safe gait technique, verbalize effective pain control, and occupational therapy will be completed). This finding is verified by the CM on 10/28/2021 at 2:23 PM. Patient #12 On 10/25/2021 at 3:28 PM, a review of Patient #12’s chart reveals the POC has goals which are not measurable (POC will be established meet nursing needs, speech therapy evaluation, physical therapy POC, occupational therapy evaluation, demonstrate improved function to specific exercise, demonstrate increased safety in home, increased independence in activities, improved muscle function, and understanding and compliance with energy conservation). This finding is verified by the CM on 10/28/2021 at 2:27 PM. Patient #13 On 10/25/2021 at 3:49 PM, a review of Patient #13’s chart reveals the POC has goals which are not measurable (Physical therapy POC). This finding is verified by the CM on 10/28/2021 at 2:31 PM. Patient #14 On 10/27/2021 at 2:53 PM, a review of Patient #14’s chart reveals the POC has goals which are not measurable (Occupational therapy evaluation, occupational therapy POC, improved function in response to specific exercises, increased independence in activities, understanding and compliance with energy conservation, receive medications, and physical therapy POC). This finding is verified by the CM on 10/28/2021 at 2:32 PM. Patient #15 On 10/27/2021 at 3:07 PM, a review of Patient #15’s chart reveals the POC has goals which are not measurable (Occupational therapy evaluation). This finding is verified by the CM on 10/28/2021 at 2:41 PM. Patient #16 On 10/27/2021 at 3:23 PM, a review of Patient #16’s chart reveals the POC has goals which are not measurable (Physical therapy POC, demonstrate reduced fall risk, and understanding and compliance with energy conservation). This finding is verified by the CM on 10/28/2021 at 2:51 PM. Patient #17 On 10/27/2021 at 3:56 PM, a review of Patient #17’s chart reveals the POC has goals which are not measurable (Physical therapy POC). This finding is verified by the CM on 10/28/2021 at 2:57 PM. Patient #5 On 10/28/2021 at 10:01 AM, a review of Patient #5’s chart reveals the POC has goals which are not measurable (Physical therapy plan of care will be ordered). This finding is verified by the CM on 10/28/2021 at 2:45 PM. Patient #1 On 10/28/2021 at 11:28 AM, a review of Patient #1’s chart reveals the POC has goals which are not measurable (Physical therapy plan of care will be ordered). This finding is verified by the CM on 10/28/2021 at 2:01 PM. Patient #2 On 10/28/2021 at 11:51 AM, a review of Patient #2’s chart reveals the POC has goals which are not measurable (Physical therapy plan of care will be ordered and occupational therapy evaluation will be completed). This finding is verified by the CM on 10/28/2021 at 2:05 PM. Patient #3 On 10/28/2021 at 12:09 PM, a review of Patient #3’s chart reveals the POC has goals which are not measurable (Physical therapy plan of care will be ordered). This finding is verified by the CM on 10/28/2021 at 2:08 PM.