Every finding on record at Sincere Health Care Services, Inc.

National Homecare Services is in compliance with the federal emergency preparedness requirements.

Recertification Survey

Provide services in the plan of care CFR(s): 484.75(b)(3) Providing services that are ordered by the physician or allowed practitioner as indicated in the plan of care; This ELEMENT is not met as evidenced by: Based on record review and interviews the agency failed to provide services as indicated in the plan of care for 1 (#6) of 7 (#1, #2, #3, #4, #5, #6, & #7) patients reviewed. The agency failed to provide physical therapy as ordered by the physician. Findings: Review of home health agency missed visit policy (un-dated) revealed: The skilled nurse or therapist will notify physician of any missed visit at the time of the visit. The nurse/therapist will document reason in the notes section. The home health aide will notify agency of missed visit and the office registered nurse/licensed practical nurse will notify the physician of the missed visit. Review of Patient #6’s home health recertification and plan of care revealed the recertification period was 11/28/2024 through 01/26/2025 with a diagnosis of Becker’s muscular dystrophy. Review of Patient #6’s home health recertification and plan of care revealed Patient #6 was to receive physical therapy visits once a week for 8 weeks. Further review of Patient #6’s home health recertification and plan of care revealed physical therapy visits were to include: -therapeutic exercises bilateral lower extremity -manual therapy bilateral lower extremity -neuromuscular re-education bilateral lower extremity as needed Review of Patient #6’s schedule for recertification period 11/28/2024 through 01/26/2025 failed to reveal Patient #6 received eight physical therapy visits as ordered. Review of Patient #6’s schedule of visits failed to reveal physical therapy visit for the weeks of 12/23/2024 through 12/28/2024 and 12/30/2024 through 01/04/2025. During an interview on 01/29/2025 at 2:50 PM S1 Administrator confirmed Patient #6 did not receive physical therapy visits as ordered by the physician.