| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 017016 | (X3) Date Survey Completed 12/06/2018 |
| Name of Provider or Supplier Southeast Alabama Homecare, Llc | Street Address, City, State 804 Glover Avenue, Enterprise, AL | |
| For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency. | ||
| (X4) ID Prefix Tag | Summary Statement of Deficiencies
(Each deficiency should be preceded by full regulatory or LSC identifying information) |
| G0808 | Onsite supervisory visit every 14 days CFR(s): 484.80(h)(1)(i) If home health aide services are provided to a patient who is receiving skilled nursing, physical or occupational therapy, or speech-language pathology services, a registered nurse or other appropriate skilled professional who is familiar with the patient, the patient's plan of care, and the written patient care instructions described in ยง484.80(g), must make an onsite visit to the patient's home no less frequently than every 14 days. The home health aide does not have to be present during this visit. This ELEMENT is not met as evidenced by: Based on review of medical records (MR) agency policy and procedure and interviews with the staff it was determined the agency failed to ensure aide supervisory visits were conducted according to agency policy once ever 14 days. This affected MR # 5, 1 of 1 MR's with Home Health Aides (HHA) and had the potential to negatively affect all patients who receive HHA services by the agency. Findings include: Policy: Home Health Aide Supervision Policy Number: 6.007 Revised Date: 4/1/18 Policy: The Registered Nurse and/or Qualified Therapist, as appropriate, will supervise the Home Health Aides according to State and Federal Conditions of Participation to ensure the quality and appropriateness of the home health aides service. Procedure: ...These visits are made according to specific state guidelines below: Alabama: At least every 14 days, with or without aide present... 1. MR # 5 was admitted to the agency on 10/13/18 with admitting diagnoses of Malignant Neoplasm of Pancreases, Unspecified and Primary Generalized (Osteo) Arthritis. Review of the Home Health Certification and Plan of Care dated 10/13/18 revealed the Home Health Aide was to visit 1 time a week for 1 week then 1 time every 2 week for 4 weeks and to start 10/21/18. Review of the Skilled Nurse (SN) visit notes dated 10/26/18, 11/1/18 and 11/9/18 revealed no documentation the SN performed an aide supervisory visit on any of the mentioned dates. Further review revealed the first aide supervisory visit was conducted on 11/15/18 which was 21 days after the start of care by the aide. An interview was conducted on 12/6/18 at 8:45 AM with Employee Identifier # 1, Registered Nurse, Director of Nursing, who confirmed the above mentioned findings. |