Every finding on record at S&S Health Care, Inc.

An unannounced Home Health Agency recertification survey was conducted on August 23-24, 2021 by one (1) Medical Facilities Inspectors from The Office of Licensure and Certification, Virginia Department of Health. In conjunction with this survey, the agency's emergency preparedness plan was reviewed. The agency was found to be in compliance with 42 CFR 484.102 Conditions of Participation Emergency Preparedness for Home Health Agencies.

An unannounced Home Health Agency recertification survey was conducted on August 23-24, 2021 by one (1) Medical Facilities Inspectors from The Office of Licensure and Certification, Virginia Department of Health. The agency reported 295 unduplicated admissions for the past twelve months. The agency has no branch offices. In conjunction with the survey, seven (7) clinical records, six (6) personnel files, an admission packet, complaint log, emergency preparedness, CLIA (Clinical Laboratory Improvement Amendments) and the organization chart were reviewed. Three (3) home visits and staff interviews were conducted. The agency was found not to be in compliance with the federal requirements of 42 CFR 484, Conditions of Participation for Home Health Agencies. Deficiencies were identified and cited in this report.

Participate in care CFR(s): 484.50(c)(4)(i,ii,iii,iv,v,vi,vii,viii) Participate in, be informed about, and consent or refuse care in advance of and during treatment, where appropriate, with respect to-- (i) Completion of all assessments; (ii) The care to be furnished, based on the comprehensive assessment; (iii) Establishing and revising the plan of care; (iv) The disciplines that will furnish the care; (v) The frequency of visits; (vi) Expected outcomes of care, including patient-identified goals, and anticipated risks and benefits; (vii) Any factors that could impact treatment effectiveness; and (viii) Any changes in the care to be furnished. This ELEMENT is not met as evidenced by: Based on interviews and document review, it was determined the agency failed to ensure that patients were informed about and consented to the frequency of proposed visits in advance of starting care in five (5) of seven (7) clinical records reviewed in the survey sample (clinical record #'s 1, 3, 4, 5, and 7). The findings were: The electronic clinical records were reviewed both onsite and offsite in read only mode from August 23-24, 2021. The consent for care for clinical records #1, 3, 4, 5, and 7 all failed to contain documentation of the prposed frequency of visits to be provided by any of the disciplines providing care. The admitting clinician put a check mark next to the discipline to provide services but failed to fill in the blank line provided for visit frequency. An interview with the Administrator on August 24, 2021 at approximately 2:00 PM revealed the consents in question had been reviewed and the administrator acknowledged the findings. The findings were reviewed with the Administrator and Vice President of Operations during the exit conference on 8/24/2021.