Every finding on record at St Bernards Home Care

On 04/20/21 at 10:07 AM, an entrance conference was conducted with Agency Representatives. The Agency was informed the purpose of the visit was to conduct a Medicare Recertification survey for compliance with 42 CFR Part 484.22 for Home Health, Emergency Preparedness Program. On 04/23/21 at 10:15 AM, an exit conference was conducted with Agency Representatives. Preliminary findings of the survey were discussed. The Agency is in compliance with 42 CFR Part 484.22 for Home Health, Emergency Preparedness Program.

On 04/20/21 at 10:07 AM, an entrance conference was conducted with Agency Representatives. The Agency was informed the purpose of the visit was to conduct a Medicare Recertification survey for compliance with the Conditions of Participation for Home Health. On 04/23/21 at 10:15 AM an exit conference was conducted with Agency Representatives. Preliminary findings of the survey were discussed. .

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 Clinical Record review, and staff interview the Agency failed to ensure a Discharge/Transfer Summary was completed and sent to the Physician after discharge in 3 (#14, #16, and #17) of 5 (#13 - #17) Clinical Records reviewed with transfer/discharge status. This failed practice had the potential to place all 363 patients currently on census at risk by preventing effective and efficient coordination of care among health care team members and providers. Findings follow: 1. Review of Clinical Record #14 for a certification period of 3/2/21 to 4/30/21 showed the Patient was transferred to a hospital facility on 3/4/21. A review of a document dated 3/12/21 titled "Non-Visit Documentation: Chart Update" showed "Communication Text: Per [named RN], Patient is to be admitted to Hospice on D/c [discharge] from hospital. Agency d/c initiated...." There was no evidence in the Clinical Record a timely discharge summary was completed and sent to the Physician for Patient #14. 2. Review of Clinical Record #16 for certification period of 2/1/21 to 4/1/21 showed the Patient was discharged to a hospital facility on 3/30/21. A review of a document dated 3/30/21 titled "Non-Visit Documentation: Chart Update" showed "Patient discharged ....due to being in hospital." There was no evidence in the Clinical Record a timely discharge summary was completed and sent to the Physician for Patient #16. 3. Review of Clinical Record #17 for certification period of 3/27/21 to 4/13/21 contained a document dated 4/17/21 titled "Non-Visit Documentation: Record Notes" The document showed the Patient was discharged on 4/17/21. There was no evidence in the Clinical Record a timely discharge summary was completed and sent to the Physician for Patient #17. 4. In an interview on 4/23/21 at 9:15 A.M., staff member #1, #2 and #3 verified a timely discharge summary was not completed or sent to the Physician by stating there was a "glitch" in their electronic medical record that prevented a discharge summary from being completed timely for Patients #14, #16, and #17. . .