Every finding on record at Rx Home Healthcare, Inc

SUBSTANTIAL ALLEGATION SURVEY SUBSTANTIAL ALLEGATION OH00119747 No deficiencies were cited related to allegations contained in substantial allegation OH00119747 completed on 02/11/21; however, the agency was found not to be in compliance with all requirements for Home Health Agency participation and the following deficiency is cited. Rx Home Healthcare, Inc, 368128, is not in compliance with the requirements found at 42 CFR Part 484, Subpart B, C, Home Health Agency. An entrance conference was conducted on 02/10/21 at 9:08 AM with administrative staff, an exit conference was conducted on 02/11/21 at 2:59 PM with administrative staff.

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 medical record review, policy review and interview, the agency failed to ensure one patient (Patient #2) of four medical records reviewed received aide services in accordance with the plan of care and failed to notify the physician of missed treatments/changes to the plan of care in accordance with the agency's policy. The agency's active census was 116 patients. Findings include: The agency's Plan of Care policy (Revises 01/2014) was reviewed. The policy stated: 9. Professional staff shall promptly alert the physician to any changes that suggest a need to alter the Plan of Care. Patient #2 was admitted to the agency on 01/05/21. The Plan of Care for the certification period of 01/05/21 through 03/05/21 contained orders for home health aides services four hours a day, five days a week. The agency did not provide aide services from 01/05/21 through 01/09/21. The medical record did not contain communication to the physician regarding the missed visits. The findings were shared with Staff A on 02/11/21 at 9:14 AM and confirmed. Staff A reported the agency was awaiting insurance authorization before providing services.