Every finding on record at Relay Home Care Service

EMERGENCY PREPAREDNESS SURVEY At the time of the emergency preparedness survey completed on 03/11/21, Relay Home Care Services is in compliance with the provisions of 42 CFR Part 484.102, Conditions of Participation for Home Health Agencies.

Partial Extended Recertification Survey The following deficiency are based on the partial extended recertification survey completed 03/11/21. Relay Home Care Services is not in compliance with the requirements found at 42 CFR Part 484, Subpart B, C, Home Health Agencies.

A review of all current medications CFR(s): 484.55(c)(5) A review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with drug therapy. This ELEMENT is not met as evidenced by: Based on observation, record review and interview, the agency failed to ensure over-the-counter medications and supplements were included in the patient's medication list. This affected two (Patients #1 and #3) of three patients with home visits. This has the potential to affect all patients receiving services from the agency. The agency census was 48. Findings include: 1. During a home visit with Patient #1 on 03/09/21 at 9:30 A.M., Patient #1 revealed that he takes ibuprofen 400 milligrams (mg) one to two times a week. The medication profile did not show this medication listed. Interview with Staff B on 03/09/21 at 12:45 P.M. revealed that ibuprofen was not listed Pt #1's medication list and stated that Patient #1 did not tell him that he took ibuprofen. 2. During a home visit with Patient #3 on 03/09/21 at 2:45 P.M., two supplement bottles were on his coffee table. The bottles contained Vitamin C 1000 mg and Centrum Silver. Patient 33 stated he had been taking these supplements and he stated that he has been taking the Centrum Silver every three days for about 10 days now, and he has been taking the Vitamin C 1000 mg every three days for about three months now. Review of Patient #3's medication list revealed that these supplements were not listed. Staff C verified that these were not on the medication list on 03/09/21 at 3:21 PM. Review of the agency policy titled "Medication Review", revealed medication review is done by the Registered Nurse (RN) at start of care and at every recertification and resumption of care visits. If it is a skilled case (regular SN visits: multiple visits daily, daily, weekly, bi-weekly or monthly), the visiting nurse asks the client/caregiver for any new of discharged or medication that is running out (in-order to call pharmacy for a refill if any). This includes all the medications the client is currently using/taking, including prescribed and over-the-counter plus total parenteral nutrition (TPN) and Herbals administered by any route. The visiting nurse also looks around for any unaccounted for medications in the home that may belong to the client, should the client/caregiver forgets to make mention about it." The medication change should be reported to the office so the medication profile in the patient's folder can be updated.