Every finding on record at United Patners Group LLC

SUBSTANTIAL ALLEGATION SURVEY SUBSTANTIAL ALLEGATION OH00109528 The following deficiency is based upon substantial allegation survey completed on 10/16/24. United Hearts Health Care is in substantial compliance with the requirements found at 42 CFR Part 484, Subpart B, C, Home Health Agencies.

Services provided by HH aide CFR(s): 484.80(g)(2) A home health aide provides services that are: (i) Ordered by the physician or allowed practitioner; (ii) Included in the plan of care; (iii) Permitted to be performed under state law; and (iv) Consistent with the home health aide training. This ELEMENT is not met as evidenced by: Based on record review, interview and policy review, the failed to ensure home health aides provided the hours ordered by a physician. This affected one (Patient #1) of three patients records reviewed. Findings include: Record review revealed Patient #1 was admitted for services of the agency on 05/23/24. Diagnoses included type 2 diabetes mellitus with diabetic neuropathy, hypertension, morbid obesity, and need for assistance with personal care. The certification periods of 05/23/24 to 07/21/24 and 07/22/24 to 09/19/24 revealed a provider ordered the services of an aide for 16 hours a week. The duties of the home health aide, outlined in the Aide Care Plan, included assistance with showering each visit, total support with shampooing hair on shower days, assistance with combing hair each visit, total support each visit with meal preparation and setup. Review of the certification period of 05/23/24 to 07/22/24 revealed on the week of 05/26/24, only 9.5 hours were provided by the aide. The medical record lacked documentation the provider or clinical supervisor were notified of any missed visits. The week of 06/02/24 noted the aide performed visits on 06/03/24 for 4.5 hours and 06/05/24 for 5 hours for a total of 9.5 hours. Again, the medical record lacked documentation the provider or clinical supervisor were notified of the missed visit. Review of visits the week of 06/30/24 revealed the aide provided services for a total of eight hours. The medical record lacked documentation the provider or clinical supervisor were notified of the missed visits. Staff A, Staff B, and Staff C were interviewed on 10/16/24 at 5:45 PM. It was confirmed that aide visits were missed and the medical record lacked documentation the clinical supervisor or provider were notified as required by facility policy. Review of the policy titled "Missed Visits" stated missed visits will be communicated to the clinical supervisor and the patient’s physician. A missed visit will be rescheduled the same week if possible. Missed visits will be documented in the medical record. Review of the procedure for missed visits revealed if a visit is missed for any reason, the clinician should attempt to reschedule the visit for the same week so that the physician-ordered frequency is maintained and not be considered a missed visit. If a visit is missed and not rescheduled, the clinician will notify the physician and clinical supervisor of the missed visit and reason for missed visit.