Every finding on record at The Roads Home Health Broward

An unannounced Complaint survey, #2022018585 and #2022018846, was commenced on 01/10/2023 and concluded on 01/11/2023 at The Roads Home Health Broward, Home Health Agency provider. The provider was not in compliance with 42 CFR, Part 484 Subpart A-C, Conditions of Participation for Home Health Agencies.

Interdisciplinary assessment of the patient CFR(s): 484.75(b)(1) Ongoing interdisciplinary assessment of the patient; This ELEMENT is not met as evidenced by: Based on record review and interview, the Home Health Agency (HHA) failed to assess and provide the quantity of supplies needed for 1 of 3 sampled patients (Patient# 1). The findings included: Review of the record reveals Patient #1 started care with the Home Health Agency on 11/15/22. Patient #1’s Start of Care Comprehensive Assessment, dated 11/15/22 documented the patient had urinary incontinence, did not document that Patient #1 had urinary retention and relied on straight catheterizations (insertion of a tube) to drain urine from the bladder more than daily. A physician’s outpatient visit note, dated 01/07/22, documented Patient #1 had a neurogenic bladder lack of bladder control) and urge incontinence but did not identify that the patient relied on straight catheterizations to drain the bladder. Patient #1’s Home Health Certification and Plan of Care documented the patient was to receive a total of 2 RN (Registered Nurse) visits and 1 to 2 Physical Therapy visits for 9 weeks. During an interview on 01/11/23 at 9:50 AM, the HHA's RN/Case Manager, Staff A reported Patient #1 was sent 30 urinary catheters, which Staff A explained was a standard month’s supply; Staff A reported she talked to Patient #1 once during which Patient #1 said she was out of supplies and needed more catheters; Staff A reported she confirmed with the Scheduler that the supplies had already been delivered and the staff who visited Patient #1 said she had plenty of supplies in the home; when asked if she had inquired how many catheters Patient #1 uses, or how she had run out of catheters, she denied asking that question but said she told the patient a month’s supply had been delivered and staff said she still had plenty of supplies in the home, so they would not be sending more at that time. During an interview on 01/11/23 at 10:01 AM, the HHA's Scheduler, Staff B reported Staff A did ask her about Patient #1’s supplies and she confirmed the Lymphedema (Lymph system blockage causing swelling) supplies were delivered and checked with the Physical Therapy Assistant, Staff C who reported Patient #1 had plenty of Lymphedema supplies in the home, which she relayed to Staff A; Staff B reported Staff A did not specify which supplies and did not mention urinary catheters. During a telephonic interview on 01/11/23 at 10:58 AM, the Physical Therapy Assistant, Staff C who had worked with Patient #1 reported she was aware of the delivery of Lymphedema supplies and that Patient #1 mentioned she was waiting for some different type of supplies; Staff C reported the (HHA) office called her and asked if Patient #1 had the supplies she needed and she told them Patient #1 had everything she needed for Lymphedema, but she thought she was waiting for something else. On 01/11/23 at 3:10 PM, the Director of Nursing (DON) provided documentation that Patient #1 called saying she was out of supplies and needed more, that previous delivery of the supplies was confirmed with the medical supply company and staff reported adequate supplies were observed in the home, and Patient #1 was told to call when she ran low on supplies so they could be reordered. The DON denied following up with Patient #1 because she believed it was resolved and denied awareness that the request was about urinary catheters. During telephonic interview on 01/11/23 at 10:40 AM, the Physical Therapist who confirmed he assessed Patient #1 for Lymphedema therapy, oversaw her case, and had conducted her discharge visit on 12/20/23 denied awareness that she used or needed urinary catheters but reported she insisted on being discharged right away on 12/20/23 so she could get supplies delivered from another company without telling him what those supplies were.