Every finding on record at Reliable Home Health Care, LLC

Substantial Allegation Survey Substantial Allegation 100219 Reliable Home Health Care was not in compliance with the requirements at 42 CFR Part 484, Subpart B, C for Home Health Agencies in regards to substantial allegation 100219 completed on 08/16/23.

Promptly alert relevant physician of changes CFR(s): 484.60(c)(1) The HHA must promptly alert the relevant physician(s) or allowed practitioner(s) to any changes in the patient's condition or needs that suggest that outcomes are not being achieved and/or that the plan of care should be altered. This ELEMENT is not met as evidenced by: Based on medical record review, staff interview and policy review, the agency failed to follow their policy titled for notifying the physician with needed alterations to the plan of care (POC). This affected one patient (#3) with the potential to affect all patients cared for by this home health agency. Facility census was 35. The medical record for Patient #3 was revealed a start of care (SOC) of 05/05/23 with a primary diagnosis of quadriplegia. The certification period reviewed was for 05/05/23-07/03/23 and 07/04/23-09/01/23. Orderson the plan of care (POC) listed home health aide (HHA) for 40 hours per week to help with personal care and activities of daily living (ADL). Review of the HHA visits for the week of 06/11-17/23 identified 48 hours with Staff C beginning care on 06/18/23. Staff C provided 45 hours the week of 06/18-24/23 and 32 hours for the week of 06/25/23 as Patient #3 was hospitalized from 06/25-6/27/23. HHA visits for the week of 07/02-08/23 and 07/09-15/23 revealed Patient #3 received nine HHA hours per day to equal 63 hours each week. Aide visits were place on hold starting 07/16/23 due to a complaint against Staff C and no other aides available to care for this patient. There was no evidence he physician was notified of the changes in hours from Patient #3's POC and of the HHA services being placed on hold. Review of a letter dated 07/21/23 stated services were on hold along with a 30 day notice to stop services. Interview on 08/15/23 at 5:10 PM, Staff A stated this letter was sent to Patient #3 and the Case Manager (CM) due to not having aides available to provide care. Review of the facility policy titled "Physician Notification," stated any deviation from the POC needs to be notified to the signing physician within 24 hours of event such as: missed visits, hospitalizations, services on hold and any changes in hours or schedule. This policy further instructs all notifications will be documented in the chart. Interview on 08/17/23 at 12:30 PM, Staff A and Staff B verified the findings of not notifying the physician of the increase in HHA hoursand not notifying the physician when the care was placed on hold as per the agency policy titled "Physician Notification."

At the time of the emergency preparedness survey completed on 08/25/22, Reliable Home Health Care, LLC is in compliance with the provisions of 42 CFR Part 484.102.

Partial Extended Recertification Survey/Substantial Allegation 71201 The following deficiency is based on the standard recertification survey partial extended recertification survey of 08/25/22. No deficiencies were cited in regard to the allegations contained in substantial allegation 71201 completed on 08/25/22. Reliable Home Health Care, LLC, 368432, is not in compliance with the requirements found at 42 CFR Part 484, Subpart B, C for Home Health Agencies. An onsite entrance conference was conducted with Staff A the morning of 08/22/22, and a virtual exit conference was completed with Staff A and Staff B the afternoon of 08/25/22.

Information to the state survey agency CFR(s): 484.100(a) Standard: The HHA also must disclose the following information to the state survey agency at the time of the HHA's initial request for certification, for each survey, and at the time of any change in ownership or management: This STANDARD is not met as evidenced by: Based on observation and staff interview, it was determined the agency failed to notify the State Agency of it's relocation in a timely manner. The agency's census was 56 at the time of the survey. Observations upon arrival at the agency's location of 4941 Profit Way, Dayton, Ohio 45414 on 08/22/22 at approximately 9:30 AM revealed the door was locked, lights were off, and no activity inside the office spaces. No one arrived at location after some time, so the agency's number was called. Interview with an agency employee who answered the phone revealed the agency had relocated to 50 Chestnut Street, Beavercreek, Ohio 45440. Observations after traveling to the provided address revealed the agency had moved locations and was now located at 50 Chestnut Street in Beavercreek Ohio. An interview with Staff A and Staff B on 08/22/22 at 12:35 PM confirmed the agency had not completed the 855A before the agency relocated from it's previous address. The interview confirmed the application was in the process of being completed and sent to the State Agency.