| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 017024 | (X3) Date Survey Completed 11/21/2024 |
| Name of Provider or Supplier Southeast Alabama Homecare, Llc | Street Address, City, State 3813 Ross Clark Circle, Suite 300, Dothan, 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) |
| G0702 | Services by skilled professionals CFR(s): 484.75(a) Standard: Provision of services by skilled professionals. Skilled professional services are authorized, delivered, and supervised only by health care professionals who meet the appropriate qualifications specified under ยง484.115 and who practice according to the HHA's policies and procedures. This STANDARD is not met as evidenced by: Based on review of employee files and staff interviews, the Physical Therapist (PT) failed to meet the appropriate qualifications due to no current Cardiopulmonary Resuscitation (CPR) documentation. This deficient practice did affect Employee Identifier (EI) # 6, PT, one of one PT file reviewed. Findings include: The Home Health Agency (HHA) job description for PT requires current CPR. Review of one of one PT employee files showed no current documentation for CPR. An interview was conducted on 11/20/24 at 4:08 PM with EI # 1, Executive Director, who confirmed that there was no current CPR. |