Every finding on record at Upmc Somerset

Based on the findings of an unannounced on-site State Re-licensure and Medicare Re-certification survey completed February 3, 2022, UPMC Somerset Home Health and Hospice was found to be in compliance with the requirements of 2 CFR, Part 484.22, Subpart B, Condition of Participation: Home Health Agencies- Emergency Preparedness.

Based on the findings of an unannounced on-site State Re-licensure and Medicare Re-certification survey completed February 3, 2022, UPMC Somerset Home Health and Hospice was found not to be in compliance with the requirements of 42 CFR, Part 484, Subparts B and C, Conditions of Participation: Home Health Agencies.

Plan of care CFR(s): 484.60(a)(1) Each patient must receive the home health services that are written in an individualized plan of care that identifies patient-specific measurable outcomes and goals, and which is established, periodically reviewed, and signed by a doctor of medicine, osteopathy, or podiatry acting within the scope of his or her state license, certification, or registration. If a physician or allowed practitioner refers a patient under a plan of care that cannot be completed until after an evaluation visit, the physician or allowed practitioner is consulted to approve additions or modifications to the original plan. This STANDARD is not met as evidenced by: Based on review of Agency Policy/Procedure, Clinical Records (CR), Home Visit Observation, and staff (EMP) interview the agency failed to ensure the Plan of Treatment (POT) included supplies and equipment for eight (8) of seventeen (17) CR's reviewed (CR3, 4, 6, 7, 12, 14, 15, & 17.) Findings included: Review of Agency Policy and Procedure on February 2, 2022, at approximately 11:00AM revealed: "Care Planning Process...POLICY: …Definitions:1. Plan of Care: The clinical plan of care includes: L. Supplies and equipment required..." Review of CR on February 2, 2022, between 11:30am and 1:15pm and February 3, 2022, between 9:00am and 12:00pm revealed: CR3, start of service (SOS) 1/22/2022, period reviewed 1/22/2022-2/2/2022. Medication list included albuterol nebulizers to be administered every 4 hours as needed for shortness of breath. Home visit conducted 2/1/2022 at approximately 10:00am confirmed wit wife and nurse that patient did indeed use nebulizer treatments. Plan of Care (POC) failed to include nebulizer machine to administer treatments. CR4, SOS 1/26/2022, period reviewed 1/26/2022-2/2/2022, POC includes diagnosis of Diabetes Mellitus type II and Intervention to check blood sugar 1-2 times a day. Lantus insulin to be administered nightly before bed. POC failed to include diabetic supplies. CR6, SOS 1/25/2022, period reviewed 1/25/2022-2/2/2022, POC includes diagnosis of Diabetes Mellitus type II and parameters for blood sugar. Home visit conducted 2/2/2022 at approximately 9:30am confirmed with patient that blood sugars are monitored. POC also includes intervention for patient to monitor INR on personal machine weekly. POC failed to include diabetic supplies and equipment/supplies required for INR monitoring. CR7, SOS 1/21/2022, period reviewed 1/21/2022-2/2/2022. POC includes diagnosis of Diabetes Mellitus type II, Lantus insulin administered daily, and oxygen use. Home visit conducted 2/2/2022 at approximately 10:15am confirmed oxygen use and blood sugar monitoring. POC failed to include diabetic supplies or oxygen concentrator. CR12, SOS 2/10/2021, period reviewed 2/10/2021-3/17/2021. POC includes diagnosis of Diabetes Mellitus type II and evidence of insulin use. POC failed to include diabetic supplies. CR14, SOS 1/6/2022, period reviewed 1/6/2022-2/3/2022. POC includes diagnosis of Diabetes Mellitus type II and evidence of insulin pump use. POC failed to include diabetic supplies. CR15, SOS 12/18/2021, period reviewed 12/18/2021-2/3/2022. Medication list included albuterol nebulizers to be administered4 times a day as needed for wheezing. POC failed to include nebulizer machine to administer treatments. CR17, SOS 1/28/2022, period reviewed 1/28/2022-2/3/2022. POC includes diagnosis of Diabetes Mellitus type II and evidence of insulin use. POC failed to include diabetic supplies.