Every finding on record at Vision Home Health Care LLC

Substantial Allegation Survey Substantial Allegation 100799 No deficiencies were cited related to allegations contained in substantial allegation 100799 completed on 10/05/23; however, the facility was found not to be in compliance with all requirements for Home Health Agency participation and the following deficiency was cited. Vision Home Health Care LLC 369037, is not in compliance with the requirements at 42 CFR Part 484, Subpart B, C for Home Health Agencies.

Document complaint and resolution CFR(s): 484.50(e)(1)(ii) (ii) Document both the existence of the complaint and the resolution of the complaint; and This ELEMENT is not met as evidenced by: Based on interview, and record review, and policy review, the facility failed to document both the existence of the complaint and the resolution of a complaint for one of three patients reviewed (Patient #64). This had the potential to affect all patients receiving services from the agency. The census was 62. Findings include: Review of Patient #64's medical record revealed a 12/05/22 admission with diagnoses including hypertension, type 2 diabetes, depression and chronic obstructive pulmonary disease. Functional limitations include amputation, ambulation, bowel and bladder incontinence, dyspnea with minimal exertion and low endurance. Activities permitted were partial weight bearing and up as tolerated. Her mental status was oriented but forgetful. Review of a 08/16/23 Communication Note revealed there was a disagreement with the Home Health Aide (HHA) and the patient did not want her to provide services. The case manager was notified of the patient not receiving services that day and that the agency was not able to find an aide to provide care. The agency would let the case manager know when staff were secured. Interview with Staff A on 10/04/23 at 2:10 P.M. revealed the agency's only complaint since he became Administrator in August of 2022 was from Patient #64. There was a situation brought to their attention related to Patient #64 on 08/16/23. Interview on 10/04/23 at 5:04 P.M. with Staff B revealed on 08/16/23 she received a call from Patient #64 alleging Staff C took her slipper socks and drank sauce from her refrigerator. Staff B did not document the conversation. She made a communication note that there was a disagreement with the Staff C and that the patient did not want her to provide services. She notified the case manager of the patient not receiving services that day and that they were not able to find an aide to provide care. She would let the case manager know when she was able to find staff. Nursing notified the physician's office that services were on hold until they could find alternate staff. Interview with Staff A on 10/05/23 at 2:26 P.M. revealed he notified the patient they did not have another aide available at the time she wanted them there. The facility agreed to not send an aide without her approval. On 08/20/23 Patient #64 was discharged to go to another provider since they did not have staff available in the early evenings from 4:00 P.M. till 8:00 P.M. or 5:00 P.M. till 9:00 P.M. Interview 10/05/23 at 4:52 P.M. with Staff A verified they did not have documentation of the specific allegations from the patient. They did not document her call and they did not call her back for a statement. The agency did not call the patient's daughter in an attempt to verify if any items were missing. The agency spoke to Staff C, and she denied taking anything. They did not get a written statement or document an interview with Staff C. The agency did not log the complaint. The patient's record said she had a disagreement with the aide, but the record did not reflect what the disagreement was related to. The agency did not have a documented resolution of the allegations or findings. The Administrator verified the agency did not do a complete or thorough investigation into the allegations. The Administrator verified the agency did not document the allegations, obtain written statements or document an investigation with a resolution of findings. The Administrator verified the agency policy was not followed. Review of the policy titled, Complaint Resolution, revised March of 2019, revealed the policy was to provide for a prompt and equitable resolution of complaints by patients and employees, the administrator and or clinical manager will be notified of complaint. The agency will record in both the clinical record and the patient's home folder that the patient was provided with information regarding his or her right to lodge a complaint to the agency. The purpose was to provide a mechanism for use by the patient or employee to assure response; and if possible, resolution of a complaint in a timely manner to provide administrative persons with an opportunity to review responses to complaints. Each patient is given information about his or her rights and responsibilities receiving home health agency services. Each patient receives in writing during the initial evaluation visit contact information for the agency administrator, including name, business address and business telephone number for receiving complaints. Patients are encouraged to make suggestions for improving care of your door, registered complaints to the agency personnel without fear of coercion, discrimination or reprisal for doing so, or unreasonable interruption of care. Agency will investigate complaints made by a patient, the patient's representative if any, and the patient, caregiver and family, including, but not limited to the following topics: Treatment or care that fails to be furnished or is furnished inconsistently or is furnished inappropriately; Mistreatment, neglect, or verbal, mental, sexual, or physical abuse, including injuries of unknown source and or misappropriation of patient property by anyone furnishing services on behalf of the agents; The lack of respect for property and or person by anyone who is furnishing services on behalf of the Agency. Document both the existence of the complaint and the resolution of the complaint. Take action to prevent potential violations, including retaliation, while the complaint is being investigated. The agency staff, whether employed directly or under arrangement, in the normal course of providing services to patient who identifies, notices or recognize incidences or circumstances of mistreatment, neglect, verbal, mental sexual abuse or physical abuse, including injuries of unknown source or misappropriation of patient property, must report findings immediately to the agency and other appropriate authorities in accordance with state law. The designated individual to respond to and take action to resolve complaints is the Director of Clinical Services. Information is obtained from appropriate sources. Investigative measures will be implemented based on the nature of the complaint, including after hours as appropriate. Appropriate authorities are informed as applicable. Corrective action is specific and directly related to the compliant. Patient and family rights are protected. Complaint resolution is achieved in accordance with established time frames. Complaints are logged, tracked and trended. Complaint management is incorporated into quality assessment and performance improvement activities. Should the patient not receive a positive response to complaints within 24 hours, the patient is encouraged to speak to the administrator. The patient will receive a response within three business days. Patients who feel further investigation is needed may appeal to the agency Administrative Body, who will respond to the patient within five business days. At admission each patient is informed regarding steps to take if he or she has any concerns related to care, treatment or services and patient safety issues. The agency maintains records of grievance complaints and their outcomes and includes this information and the Annual Quality Assurance Performance Improvement Report. A summary of the grievance complaints will be reported quarterly to the governing body owner.