Every finding on record at West Coast Home Health Care Agency Inc

An unannounced focused infection control and complaint survey for #2021001743 was conducted on 2/22/21 at West Coast Home Health Care Agency Inc., a home health agency in Naples, Florida. Complaint #2021001743 was substantiated at G454. West Coast Home Health Care Agency Inc is not in compliance with Code of Federal Regulations (CFR) 42, Part 484, Conditions of Participation for Home Health Services. The following is a description of the noncompliance.

HHA can no longer meet the patient's needs CFR(s): 484.50(d)(1) The transfer or discharge is necessary for the patient's welfare because the HHA and the physician or allowed practitioner, who is responsible for the home health plan of care agree that the HHA can no longer meet the patient's needs, based on the patient's acuity. The HHA must arrange a safe and appropriate transfer to other care entities when the needs of the patient exceed the HHA's capabilities; This ELEMENT is not met as evidenced by: Base on medical record review, and interview with Administrative staff, the home health agency failed to provide the ordered home health aide services, personal hygiene, bathing, grooming, and assisting with transfers, for 1 (Patient #1) of the 3 patients sampled. The home health agency failed to provide documentation of notifying the patient or the patient's representative of the agency's discharge nor assist with obtaining a home health agency that could provide the home health aide needed services. The finding included: Review of Patient #1's medical records revealed a Start of Care date of 12/10/20. Review of the services calendar revealed: Physical Therapy evaluation 12/10/21, Occupational Therapy evaluation 12/10/21, Skill Nursing initial visit 12/10/21. These services continued as ordered through the month of December. Documenting skill nursing discharged the patient on 12/31/20, Occupational Therapy discharged on 1/1/21, and Physical Therapy discharged on 1/7/21. Home Health Aide services were never scheduled. The medical record failed to provide evidence of patient notification, in writing, of not being able to provide the Home Health Aide service and did not provide evidence of assisting in obtaining a Home Health agency who could provide the needed services. On 2/22/21, at 4:00 p.m., during an interview the Scheduler said, "We have 3 Certified Nursing Assistants (CNA). Each CNA is divided into area codes, for the regions we cover. I called the CNA who is in the same region as the patient. I had that CNA to call the caregiver/patient to schedule and coordinate a time for the services. If the CNA, in the patient's area is not able to provide the service we call the other CNA's to see if they can provide the service. I called the home and spoke to the patient's wife. I informed her we would not be able to provide the Home Health Aide services at the specific times she requested, 8:30 a.m. through 9:00 a.m. We can provide the service but not at her requested time. It was at that point she stated she did not need the Home Health Aide. At that time, she was trying to find another agency to provide her specific times as she requested."