Every finding on record at York General Health Care Services

York General Hospital Home Health is in compliance with the requirements of 42 CFR 484.102 Condition of Participation for Home Health Agencies.

Revised plan of care CFR(s): 484.60(c)(2) A revised plan of care must reflect current information from the patient's updated comprehensive assessment, and contain information concerning the patient's progress toward the measurable outcomes and goals identified by the HHA and patient in the plan of care. This ELEMENT is not met as evidenced by: Based on record review, policy and procedure review, and staff interview, the agency failed to include the progress towards the patient and agency identified measurable outcomes and goals on the plan of care for 2 of 2 patients (Patient 2 and 5) who had a revised/updated plan of care. The total sample size was 7. The census was 32. Findings are: A. Review of the agency policy and procedure, Physician's Plan of Care, effective/revised 9/2022, revealed the revised plan of care was to reflect current information from the patients updated comprehensive assessment, and contain information concerning progress towards measurable goals. B. Review of clinical records revealed: 1. Patient 2’s Home Health Certification and Plan of Care for the certification periods of 3/27/23 through 5/25/23 and 5/26/23 through 7/24/23 did not include the patient’s progress towards the patient and agency identified goals and outcomes. 2. Patient 5’s Home Health Certification and Plan of Care for the certification periods of 2/19/23 through 4/19/23 and 4/20/23 through 6/18/23 did not include the patient’s progress towards the patient and agency identified goals and outcomes. C. During an interview on 6/6/23 at 10:00 AM, the Administrator confirmed the agency did not include the patient’s progress towards the patient and agency identified measurable outcomes and goals on the revised/updated plan of care for Patient 2 and 5.