| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 017037 | (X3) Date Survey Completed 05/11/2023 |
| Name of Provider or Supplier Alabama Homecare Of Montgomery, Llc | Street Address, City, State 400 South Union Street Suite 285, Montgomery, 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) |
| G0714 | Patient and caregiver education CFR(s): 484.75(b)(5) Patient and caregiver education; This ELEMENT is not met as evidenced by: Based on the review of medical records (MR), agency policy and procedure, hospitalization report and staff interviews it was determined the agency staff failed to obtain a return demonstration of the administration of insulin to ensure the patient and/or caregiver was competent. This did affect one of eight MR's reviewed with a diagnosis of Diabetes, including MR # 7, and had the potential to affect all patient's with Diabetes served by the agency. Findings include: Agency Policy: Patient Education Policy Number: 3.001 Revised Date: 11/1/17 Purpose: To describe patient and/or caregiver interactions designed to promote and maximize patient health and safety. Policy: The agency plans, supports, and coordinates patient and caregiver education designed to promote optimal patient health and safety... Procedure: ...7. Using the progress/visit note, the clinician documents...patient/caregiver return demonstration... 1. MR # 7 was admitted to the agency on 12/19/22 with diagnoses including, Hypertensive Heart and Chronic Kidney Disease with Heart Failure and Stage 1 Through Stage 4 Chronic Kidney Disease, or Unspecified Chronic Kidney Disease, Unspecified Systolic (Congestive Heart Failure) and Type 2 Diabetes Mellitus with Diabetic Chronic Kidney Disease. Review of the HHC and POC dated 12/19/22 to 2/16/23 revealed an order for a Physical Therapy (PT) frequency of once a week for one week, then twice weekly for three weeks, then once weekly for four weeks and for the PT to instruct the patient on management of Diabetes. Review of the Client Medication Report revealed the patient was prescribed Humalog 100 Units/ml (milliliter) 10 Units three times daily in addition to a sliding scale, sliding scale not documented, and Insulin Glargine 100 Units/ml 30 Units daily. Review of the 17 visit notes dated 12/19/22 to 1/23/23 revealed no documentation the patient and/or caregiver provided a return demonstration of insulin administration to ensure competency. Review of the hospitalization report dated 1/23/23 revealed the patient was hospitalized with a blood sugar of 821. An interview was conducted on 5/11/23 at 10:57 AM with EI # 1, Executive Director, who confirmed there was no documentation the patient and/or caregiver provided a return demonstration of insulin administration to ensure competency. |