Every finding on record at At-Home Care LLC

Observed in Record Review. In 1 of 2 Discharge Records reviewed, it was noted that the organization did not ensure the Discharge Summary was provided to the receiving agency. For example, a review of the medical record for RRDC#1, revealed no documented evidence that the receiving Hospital was provided a copy of the Discharge Summary. This observation was reviewed with the agency leadership team.

Observed in Record Review. In 1 of 2 discharge records reviewed, it was noted that a discharge/transfer summary that included all required information was not completed. For example, a review of the medical record for RRDC#1, revealed no evidence that a discharge summary including the following information was documented: 1) A summary of the patient’s stay, including treatments, symptoms, and pain management, 2) The patient’s current plan of care, and 3) The patient’s latest physician orders. This observation was reviewed with the agency leadership team.