Every finding on record at Southeastern Health Services of Pennsylvania, LLC

Based on the findings of an unannounced on-site federal recertification survey completed June 15, 2023, AccentCare Health of Pennsylvania was found to be in compliance with the requirements of 42 CFR, Part 484.22, Subpart B, Conditions of Participation: Home Health Agencies - Emergency Preparedness.

Based on the findings of an unannounced on-site federal recertification survey completed June 15, 2023, AccentCare Health of Pennsylvania was found not to be in compliance with the following requirements of 42 CFR, Part 484, Subparts B and C, Conditions of Participation: Home Health Agencies.

Discharge and transfer summaries CFR(s): 484.110(a)(6)(i-iii) (i) A completed discharge summary that is sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the HHA (if any) within 5 business days of the patient's discharge; or (ii) A completed transfer summary that is sent within 2 business days of a planned transfer, if the patient's care will be immediately continued in a health care facility; or (iii) A completed transfer summary that is sent within 2 business days of becoming aware of an unplanned transfer, if the patient is still receiving care in a health care facility at the time when the HHA becomes aware of the transfer. This ELEMENT is not met as evidenced by: Based on a review of agency policy, review of clinical records, and an interview with the agency Clinical Manager, agency failed to send a completed transfer summary to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient when the patient's care was immediately continued in a health care facility for two (2) of five (5) transfer/discharge patient clinical records (CR) reviewed (CR#13, CR#14). Findings include: Agency policy reviewed on June 15, 2023 at approximately 1:30 p.m. Policy Number HH 2.1.7 'Home Health/Home Care' 'Patient Transfer and Discharge/NOMNC Notice' 'Procedure' (6) "A completed transfer summary is sent within (2) business days of a planned transfer if the patients care will be immediately continued in a health care facility or within (2) business days of the agency becoming aware of an unplanned transfer if the patient is still receiving care in a health care facility at the time when the agency becomes aware of the transfer." A review of CRs was conducted on June 15, 2023 between approximately 10:00 a.m. and 1:30 p.m. The patients start of care (SOC) is listed below: CR#13 SOC 02/02/23: Patient transferred to (hospital) on 02/23/23. The transfer summary was sent to the facility on 02/28/23. (3 business days after transfer). (Note: Agency paperwork states 02/22/23 as the agency discharge date. This date conflicts with the patient transfer date. Per the agency Clinical Manager on 06/15/23 at approximately 2:00 p.m., the agency identifies the patient discharge date as the last paid visit date.) CR#14 SOC 03/04/23: Patient transferred to (hospital) on 04/27/23. The transfer summary was sent to the facility on 05/02/23. (3 business days after transfer). (Note: Agency paperwork states 04/12/23 as the agency discharge date. This date conflicts with the patient transfer date. Per the agency Clinical Manager on 06/15/23 at approximately 2:00 p.m., the agency identifies the patient discharge date as the last paid visit date.) An interview conducted with agency Clinical Manager on June 15, 2023 at approximately 2:15 p.m. confirmed the above findings.