Every finding on record at Wvuhs Home Care, LLC

Based on the findings of an onsite unannounced complaint investigation survey completed December 13, 2024, WVUHS Home Care, LLC was found not to be in compliance with the following requirements of 42 CFR, Part 484, Subparts B and C, Conditions of Participation: 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 review of agency policy, complaint documentation, and staff (EMP) interview, the agency failed to ensure follow up education in response to patient complaint for one (1) of two (2) complaints documented. Findings included: Review of agency policy on December 13, 2024, at approximately 12:50pm revealed: "...SUBJECT: Patient and Family Complaint and Grievance Mechanism...POLICY...VUHS Home Care will receive, investigate, and respond to any expression of dissatisfaction, any complaints or grievances about patient care by patients, their families, and/or their visitors in a timely manner..." Review of complaint log on December 13, 2024, at approximately 10:35am revealed complaint dated 10/10/24 documented by Director. Complaint noted patient concern with wound care procedure performed by nurse at visit 10/7/24 and requested that agency educate nurses on proper dressing removal process. Follow-up letter to patient stated, "...Education is planned with nursing staff on dressing removal..." documentation failed to demonstrate evidence that education was provided to nursing staff on dressing removal per agency response to patient complaint. Exit interview conducted December 13, 2024, at approximately 2:30pm with Director, Nurse Supervisor, Lead Nurse, and Quality Manager confirmed findings.