Every finding on record at Uams Health Comprehensive Care at Home, LLC

. On 9/20/23 at 10:00 AM, an entrance conference was conducted with Agency Representatives. The Agency was informed the purpose of the visit was to conduct a Medicare Complaint survey for compliance with the Conditions of Participation for Home Health. On 19/21/23 at 1:30 PM an exit conference was conducted with Agency Representatives. Preliminary findings of the survey were discussed. .

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 Clinical Record reviews and staff interviews, it was determined the Agency staff did not provide care in accordance with the written Plan of Care (POC) in 1 (#1) of 10 (#1 - #10) Clinical Records reviewed. This failed practice had the potential to affect the quality of care received by all patients currently on census for a risk of adverse outcomes, potential to affect the attainment of the patients individual goals and risk of hospitalizations. A review of Clinical Record #1 revealed the following: A. Skilled Nurse (SN) assessment note dated 6/1/23 completed for a resumption of care (ROC) after Patient #1 was discharged from the hospital on 5/31/23. Orders included in the ROC were for the SN to provide dressing changes on Monday, Wednesday, and Friday (3 times per week) beginning the Week of 5/28/23. There was no evidence the Agency had scheduled a regular SN visit for the Monday of the week of 5/28/23 as ordered. B. Further orders contained in the ROC completed on 6/1/23 were for labs to be obtained and for dressing changes to PICC (Peripherally inserted central catheter) used to administer intravenous medications and/or fluids. There was no evidence the labs ordered were obatined and no evidence the PICC dressing changes were completed as ordered. 2. During an interview with Agency staff on 9/21/23 at 12:30 P.M., an opportunity was provided to present additional information. With no additional information presented, Agency Staff #1 confirmed the PICC line dressing change was not completed and the labs were not obtained as ordered.