| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 017025 | (X3) Date Survey Completed 06/28/2018 |
| Name of Provider or Supplier Saad Enterprises, Inc. | Street Address, City, State 1515 University Blvd, South, Mobile, 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) |
| G0800 | Services provided by HH aide CFR(s): 484.80(g)(2) A home health aide provides services that are: (i) Ordered by the physician; (ii) Included in the plan of care; (iii) Permitted to be performed under state law; and (iv) Consistent with the home health aide training. This ELEMENT is not met as evidenced by: Based on review of agency guidelines, medical records (MR), and interviews with staff, it was determined the agency failed to ensure the home health aide followed the written plan of care and accurately documented the care provided. This affected 3 of 6 records reviewed receiving home health aide services and did affect Home Visit (HV) # 4, HV # 5, and MR # 6 and had the potential to negatively affect all patients receiving home health aide care. Findings include: Guidelines for Physician Notification Dated: 11/13/13 "...9. No BM (Bowel Movement) > (greater than) three days." ***** 1. HV # 4 was admitted to the agency on 8/10/17 and recertified from 6/7/18 to 8/5/18 with admitting diagnoses included Encounter for Fitting and Adjustment of Urinary Device, and Other Neuromuscular Dysfunction of Bladder. Review of the Aide Care Plan Report dated 6/13/18 revealed orders for the aide to document the date of the last BM, every visit. Review of the Aide Visit Note dated 6/20/18 revealed the aide answered "Y" (yes) to the question: "Date of Last BM." The aide failed to document the actual date of the last BM, and therefore unable to determine if it has been greater than three days. During an interview conducted on 6/28/18 at 11:30 AM with Employee Identifier (EI) # 9, RN (Registered Nurse), Supervisor, the above findings were confirmed. 2. HV # 5 was admitted to the agency on 5/25/18 and recertified 5/25/18 to 7/23/18. Admitting diagnoses included Cervicalgia, and Type 2 Diabetes with Diabetic Neuropathy. Review of the Aide Care Plan Report dated 5/25/18 revealed orders for the aide to document the date of the last BM, every visit. Review of the Aide Visit Notes dated 6/7/18, 6/14/18, and 6/26/18 revealed the aide failed to document the date of the patient's last BM, and therefore unable to determine if it has been greater than three days. An interview was conducted on 6/28/18 at 10:45 AM with EI # 1, Director of Nursing, who confirmed the above findings. 3. MR # 6 was admitted to the agency on 6/5/18 with certification dates from 6/5/18 through 8/3/18. Admitting diagnoses included Chronic Obstructive Pulmonary Disease with (Acute) Exacerbation and Chronic Respiratory Failure with Hypoxia. Review of the Aide Care Plan Report dated 6/5/18 revealed orders for the aide to document the date of the last BM, every visit. Review of the Aide Visit Note dated 6/11/18 and 6/14/18 revealed the aide answered "Y" to the question: "Date of Last BM." The aide failed to document the actual date of the last BM, and therefore unable to determine if it has been greater than three days. During an interview conducted on 6/28/18 at 11:51 AM with EI # 10, RN Supervisor, the above findings were confirmed. |