| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 017027 | (X3) Date Survey Completed 09/26/2018 |
| Name of Provider or Supplier Hga Homecare, Llc | Street Address, City, State 2050 Beltline Rd Sw, Decatur, 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) |
| G1022 | Discharge and transfer summaries CFR(s): 484.110(a)(6)(i-iii) (i) A completed discharge summary that is sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the HHA (if any) within 5 business days of the patient's discharge; or (ii) A completed transfer summary that is sent within 2 business days of a planned transfer, if the patient's care will be immediately continued in a health care facility; or (iii) A completed transfer summary that is sent within 2 business days of becoming aware of an unplanned transfer, if the patient is still receiving care in a health care facility at the time when the HHA becomes aware of the transfer. This ELEMENT is not met as evidenced by: Based on review of agency policy, medical record (MR) and staff interview, it was determined the staff failed to complete and send a transfer summary for unplanned inpatient transfers per agency policy. This affected 1 of 3 transfer records reviewed which included MR # 2 and had the potential to affect all patients admitted to the agency. Findings include: Policy Number: 2.1.004 Subject: Patient Discharge/Transfer Revision Date: 03/01/18 Purpose: To ensure continuity of care when a patient is...transferred... Procedure... 14. A Transfer Summary is sent to the primary care physician and the facility to which the patient is transferred within 2 business days..or becoming aware of unplanned transfer. This form includes agency name, transfer date...patient's condition, summary of care treatment, services provided to the patient, the patient's progress towards goals...advance directives...diagnoses, current list of medications... 1. MR # 2 was admitted to the agency on 2/9/18 with diagnoses including Traumatic Pneumothorax, Subsequent Encounter, Repeated Falls and Multiple Fractures of Ribs. Medical record review revealed a Client Coordination Note Report dated 2/23/18 with documentation the patient was admitted to the local inpatient hospital on 2/22/18 for a fall/possible pneumothorax. There was no documentation agency staff completed a transfer summary to facility to which the patient is transferred within 2 business days per policy. In an interview conducted on 9/26/18 at 9:35 AM, Employee Identifier # 3, Performance Improvement Coordinator, confirmed the aforementioned finding. |