Every finding on record at Simcor, LLC

Elara Caring Home Health of Winnsboro is in compliance with the federal emergency preparedness requirements.

Recertification Survey

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 record review and interview the HHA (Home Health Agency) failed to promptly alert the relevant physician of a change in patient condition for 1(#5) of 7(#1- #7) sampled patients. The failed practice was evidenced by the HHA not having documentation of the physician responding to the notification of patient #5`s change in condition. Patient #5 started receiving care from the HHA on 01/06/2024. Patient #5 had diagnoses that included osteomyelitis and congestive heart failure. The certification period reviewed was from 01/06/2024 - 03/05/2024. Review of a skilled nurse visit note dated 02/07/2024 revealed patient #5 reported to S3 Registered Nurse (RN) that he had swelling with tenderness to his left breast nipple area. Record review revealed patient #5 had a client coordination note sent electronically to S6 Physician which acknowledged patient #5 had had swelling with tenderness to his left breast nipple. The coordination note was dated 02/07/2024 with the designated area for the physician to sign was left blank. The coordination note was sent by S5 licensed practical nurse (LPN). Review of a skilled nurse visit note dated 02/16/2024 revealed patient #5 reported to S3 RN that he still had swelling with tenderness to his left breast nipple area. Further review of the note revealed no documented evidence of the physician being notified of the continued complaint of swelling with tenderness to patient #5`s left breast nipple area. Review of a skilled nurse visit note dated 02/20/2024 revealed patient #5 reported to S4 LPN that he continued to have swelling with tenderness to his left breast nipple area. Record review revealed a client coordination note sent electronically to S6 Physician which acknowledged patient #5 still had swelling with tenderness to his left breast nipple. The coordination note was dated 02/20/2024 with the designated area for the physician to sign was left blank. The coordination note was sent by S5 LPN. On 02/27/2024 at 2:30 p.m., an interview with S2 Director of Nursing (DON) confirmed there was not a recorded response from S6 physician in patient #5`s record that he had been notified of the complaint that patient #5 had about the swelling with tenderness to his left breast nipple area on the dates of 02/07/2024, 02/16/2024 and 02/20/2024.S2 DON reported S3 RN and S4 LPN should have called S6 Physician from patient #5`s home on 02/16/2024 and 02/20/2024 to address a possible change in the plan of care. On 02/28/2023 at 2:45 p.m., an interview with S1 Administrator confirmed there should have been recorded response from S6 physician in patient #5`s record that he had been notified of the complaint that patient #5 had about the swelling with tenderness to his left breast nipple area on the dates of 02/07/2024, 02/16/2024, and 02/20/2024.