Every finding on record at Unity Home Health Care LLC

An Emergency Preparedness Survey was conducted by the Indiana Department of Health in accordance with 42 CFR 484.102. Survey Dates: July 5th, 6th, and 7th of 2023. Active census: 20 At this Emergency Preparedness survey, Unity Home Health Care, LLC was found in compliance with Emergency Preparedness Requirements for Medicare Participating Providers and Suppliers, 42 CFR 484.102.

This visit was for a Federal Recertification and State Re-Licensure Survey of a Home Health Provider. Survey Dates: July 5th, 6th, and 7th of 2023. 12-Month Unduplicated Skilled Admissions: 4 Partially Extended Survey Announced July 6th of 2023 at 12:12 PM. These deficiencies reflect State Findings cited in accordance with 410 IAC 17. QR on 07/17/2023 by A4.

Plan of care must include the following CFR(s): 484.60(a)(2)(i-xvi) The individualized plan of care must include the following: (i) All pertinent diagnoses; (ii) The patient's mental, psychosocial, and cognitive status; (iii) The types of services, supplies, and equipment required; (iv) The frequency and duration of visits to be made; (v) Prognosis; (vi) Rehabilitation potential; (vii) Functional limitations; (viii) Activities permitted; (ix) Nutritional requirements; (x) All medications and treatments; (xi) Safety measures to protect against injury; (xii) A description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors. (xiii) Patient and caregiver education and training to facilitate timely discharge; (xiv) Patient-specific interventions and education; measurable outcomes and goals identified by the HHA and the patient; (xv) Information related to any advanced directives; and (xvi) Any additional items the HHA or physician or allowed practitioner may choose to include. This ELEMENT is not met as evidenced by: Based on record review and interview the agency failed to ensure the Plan of Care included the Psychosocial Status, Risk for Emergency Department visits, Hospital Readmission, Patient-specific Interventions, Education, & Measurable Outcomes/Goals with progression towards Goals in 6 of 7 patient records reviewed (Clinical record #1, #2, #3, #5, #6, and #7). Findings include: 1. An undated policy titled, "Physician’s Plan of Treatment", was provided by the Administrator on 07/07/2023 at 07:40 AM. The policy indicated but was not limited to, "1. A physician prepares a plan of treatment and it is made available to the Agency. 2.The physician’s plan of treatment…must include: … g. Specific orders…" 2. Patient #1's POC (plan of care) was reviewed for the certification period 06/02/2023-07/31/2023. The POC failed to include the Psychosocial Status, Risk for Emergency Department visits and Hospital Readmission, Patient-specific Interventions and Education, & Measurable Outcomes/Goals with progression towards Goals. 3. Patient #2's POC was reviewed for the certification period 05/18/2023-07/16/2023. The POC failed to include the Psychosocial Status, Risk for Emergency Department visits and Hospital Readmission, Patient-specific Interventions and Education, & Measurable Outcomes/Goals with progression towards Goals. 4. Patient #3's POC was reviewed for the certification period 06/06/2023-08/04/2023. The POC failed to include the Psychosocial Status, Risk for Emergency Department visits and Hospital Readmission, Patient-specific Interventions and Education, & Measurable Outcomes/Goals with progression towards Goals. 5. Patient #5's POC was reviewed for the certification period 05/28/2023-07/26/2023. The POC failed to include the Risk for Emergency Department visits and Hospital Readmission, Patient-specific Interventions and Education, & Measurable Outcomes/Goals with progression towards Goals. 6. Patient #6's POC was reviewed for the certification period 01/26/2023-03/26/2023. The POC failed to include the Risk for Emergency Department visits and Hospital Readmission, Patient-specific Interventions and Education, & Measurable Outcomes/Goals with progression towards Goals. 7. Patient #7's POC was reviewed for the certification period 05/13/2023-07/11/2023. The POC failed to include the Psychosocial Status, Risk for Emergency Department visits and Hospital Readmission, Patient-specific Interventions and Education, & Measurable Outcomes/Goals with progression towards Goals. 8. During an interview on 07/06/2023 at 12:12 PM. the Administrator acknowledged Psychosocial Status, Risk for Emergency Department visits and Hospital Readmission, Patient-specific Interventions and Education, & Measurable Outcomes/Goals with progression towards Goals were not included on POC. 17-13-1(a)(1)(xiii)