| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 017035 | (X3) Date Survey Completed 03/27/2025 |
| Name of Provider or Supplier Infirmary Home Health Agency, Inc. | Street Address, City, State 851 E I-65 Service Rd S, Suite 1000, 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) |
| G0464 | Advise the patient of discharge for cause CFR(s): 484.50(d)(5)(i) (i) Advise the patient, representative (if any), the physician(s) or allowed practitioner(s), issuing orders for the home health plan of care, and the patient's 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) that a discharge for cause is being considered; This ELEMENT is not met as evidenced by: Based on Medical Record (MR) review, agency policy and procedure, and interviews with staff it was determined the agency failed to provide the patient with notification prior to discharge. This deficient practice did affect MR # 2, one of five discharge charts reviewed and had the potential to affect all patients served by this agency. Findings include: Agency Policy: Coordination of Care , from Admit Through Discharge. Policy Number: 2.1.017 Revised Date: 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: ...7. Coordination of care with patient and caregiver:... Ongoing, the patient /caregiver will be notified of:... d. Transfer or discharge... 1. MR # 2 was admitted to the agency on 7/13/23 and recertified for continued care on 11/4/24 to 1/2/25 with a primary diagnosis of Pressure Ulcer of Sacral Region Stage Four. A review of the Home Health Certification and Plan of Care dated 11/4/24 to 1/2/25 revealed an order for the Skilled Nurse (SN) one time a week for nine weeks, for the SN to perform/instruct patient/caregiver in the procedure of wound care to right and left upper buttocks and coccyx A review of the MR revealed the SN visit notes dated from 11/8/24 to 12/20/24 had no documentation the patient was notified of the upcoming discharge for cause on 12/30/2024. An interview was conducted on 3/27/25 at 12:08 PM with Employee Identifier # 1, Area Administrator, who confirmed there was no documentation of the patient's notification prior to discharge. |