Every finding on record at Trucare Home Health Central, LLC

Recertification Survey A Focused Infection Control Survey was conducted on 07/06/2021. There were no deficiencies cited as a result of the FICS. Abbreviations: a.m. - morning LPN - Licensed Practical Nurse p.m. - evening prn - as needed q - every U - units

A review of all current medications CFR(s): 484.55(c)(5) A review of all medications the patient is currently using in order to identify any potential adverse effects and drug reactions, including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, and noncompliance with drug therapy. This ELEMENT is not met as evidenced by: Based on observation, interview and record review, the agency failed to ensure a Patient's medication regimen was reviewed and updated for accuracy for 1 (#2) of 3 (#1, #2, #3) patient home visits requiring medication monitoring. The agency census was 76. Findings: Observation on 07/02/2021 at 9:00 a.m. during a home visit with Patient #2, S2 LPN gathered Patient #2's medication for review. Upon review, there were several medications that Patient #2 was taking that were not on the patient's plan of care dated 06/26/2021 - 08/24/2021. These discrepancies were noted and confirmed by S2 LPN: Patient #2 confirmed that she was taking Vitamin D-3 50000U once a month. This medication was filled in 04/2021 and was not noted on Patient #2's plan of care. Patient #2 confirmed that she was using Azelastine HCL nose spray twice daily. Review of the Azelastine HCL prescription label revealed 2 sprays twice daily. This was filled 05/2021. Patient #2's care plan stated the nose spray was to be used daily. Patient #2 confirmed that she was taking Singulair prn. Review of the medication label revealed Singulair 1 q a.m. and 1 q p.m. This medication was filled in 10/2020 and 03/2021. This medication was not on the Patient #2's plan of care. Interview on 07/06 2021 with S1 Director of Clinical Operations revealed S2 LPN informed her of the medication discrepancies during Patient #2's home visit and an in-service was held with all staff nurses. Review of the agency's Patient Medication Information/Reconciliation Policy revealed in part ..." The patient's medications are reviewed and assessed during each skilled visit. Any changes to the medications or changes in the patient's response to the medications are conveyed to the ordering physician".