Statement of Deficiencies

Statement of Deficiencies	(X1) Provider/Supplier/CLIA Identification Number 017016	(X3) Date Survey Completed 06/18/2025
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)

G0564

Discharge or Transfer Summary Content
CFR(s): 484.58(b)(1)

Standard: Discharge or transfer summary content. The HHA must send all necessary medical information pertaining to the patient's current course of illness and treatment, post-discharge goals of care, and treatment preferences, to the receiving facility or health care practitioner to ensure the safe and effective transition of care.

This STANDARD is not met as evidenced by:
Based on review of medical records (MR), agency policy and procedure, and interview with staff, it was determined the agency failed to ensure discharged patients medical information, and treatment preferences were sent to the health care practitioner for transition of care.

This deficient practice affected one of one patients reviewed with discharge to palliative care including MR # 3 and had the potential to negatively affect all patients referred for transition of care.

Findings include:

Policy Number: 2.1.017

Revised: 9/1/24

Purpose: To establish processes and criteria so that the coordination of patient care will be optimal from admit through discharge.

Policy: The agency provides care and services within an integrated continuum of care system. This is accomplished by: ...identifying patient needs through assessment and communication with other health care providers.

Procedure: ...during time of ...discharge from the agency:

...3. a. Patients are referred to alternative agencies when the patient requires services that are unable to be met by the agency and/or for continuing needs.

1.MR # 3 was admitted on 8/12/24 with diagnoses including Hemiplegia Following Cerebral Infarction Affecting Right Dominant Side, and Type 2 Diabetes Mellitus with Diabetic Neuropathy, Unspecified.

Review of the Client Coordination Note Report dated 10/2/24 revealed the patient's caregiver requested to have patient evaluated by palliative care.

Further review of the Visit Note Report dated 10/2/24 revealed the Patient Care Manager and MD were notified of need for palliative care evaluation.

An interview was conducted on 6/18/25 at 10:30 AM with Employee Identifier # 1, Executive Director who confirmed there was no follow-up with palliative care after discharge.