| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 017025 | (X3) Date Survey Completed 05/12/2022 |
| 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) |
| G0578 | Conformance with physician orders CFR(s): 484.60(b) Standard: Conformance with physician or allowed practitioner orders. This STANDARD is not met as evidenced by: Based on review of Medical Records (MR), Agency Policy and Procedure, and interviews, it was determined the agency failed to ensure the visit frequency was followed in 1 of 12 active records reviewed including MR # 6 and had the potential to affect all patients admitted to this agency. Findings include: Agency Policy: Missed/... Visits Last Review and Revision: 02/2020 ...Procedure: 4.1 If any discipline arrives at the home of a patient and cannot gain entry to the home, the following steps will be followed: A. Attempt to reach the patient by telephone. B. If this is not successful, contact the caregiver or contact person... D. If all attempts to locate a patient are unsuccessful, the visit status will be changed to Rescheduled in the Electronic Medical Record and sent to the back office where the Scheduling Coordinator will be notified... 1. MR # 6 was admitted to the agency on 4/16/22 with diagnoses including Fistula of Intestine and Other Symptoms and Signs Concerning Food and Fluid Intake. Review of the Home Health Certification and Plan of Care dated 4/16/22 revealed orders for Skilled Nurse (SN) 1 x a week x 9 weeks. Review of the Client Coordination Note Reports (CCNR) dated 4/22/22 revealed documentation of a missed visit for 4/21/22. Review of the CCNR dated 5/2/22 revealed documentation of a missed visit for 4/29/22. There were no SN visit notes provided for the weeks of 4/17/22 and 4/24/22 and no other attempts documented to reschedule the visits. Review of the CCNR dated 5/9/22 for the visit on 5/5/22 revealed “…Patient has non healing surgical wound to abdomen. Wound Vac (Vacuum) dressing in place…Patient reports noticing purulent drainage oozing from underneath Vac tape this am…Copious amounts of purulence under drape…” There was no SN Visit Note Report provided for the 5/5/22 visit. In an interview conducted on 5/12/22 at 1:10 PM, Employee Identifier (EI) # 10, Registered Nurse (RN), Supervisor, confirmed no other visits had been completed since admission on 4/16/22. EI # 10 stated MR # 6 was admitted to the hospital on 5/10/22 and was scheduled for a debridement of the wound. |