Divine Health Care Services

The HHA failed to assure that the plan of treatment included the visit frequency and duration for occupational and physical therapy for four (4) of seven (7) CR's reviewed: CR#1, CR#2, CR#6 and CF#7, and included accurate and complete medication orders for five (5) of seven (7) CR’s reviewed: CR#2…

The HHA failed to assure that an accurate and complete medication review occurred or five (5) of seven (7) CR’s reviewed: CR#2, CR#3, CR#4, CR#5, and CR#7. Findings include: The HHA's Policy Medication Profile, Policy No 3-034.1 reviewed on October 1, 2025 at 1:45 PM and again on November 24, 2025…

The HHA failed to assure that a criminal background check was completed upon hire for one (1) of seven (7) PF's reviewed: PF#2. Findings include: The HHA's Policy Criminal History Record Check Policy No.4-005.1 reviewed on October 2, 2025 at approximately 3 PM reads in part, "The agency will…

The HHA failed to provide evidence that the plan of care (POC) was signed by the physician within thirty (30) days of the receipt of the physician orders for five (5) of seven (7) CR's reviewed: CR#1, CR#2, CR#5, CR#6 and CR#7. The HHA's Policy Medical Supervision, Policy No. 3-010.1 reviewed on…

The HHA failed to provide evidence that a discharge summary was completed and sent to the physician for one (1) of seven (7) CR's reviewed: CR#6. Findings include: The HHA's Policy Discharge Summary Policy No.3-053.1 reviewed on October 2, 2025 at 2:30 PM reads in part, "A discharge summary will be…

The agency failed to document emergency preparedness training every two (2) years for three (3) of six (6) PF’s reviewed: PF#1, PF#2, and PF#4. On October 26, 2022 at approximately 12:30 PM, a review of the following agency policy took place.

The agency failed to provide care according to the Home Health Certification and Plan of Treatment (POC) for four (4) of seven (7) CR reviewed: CR#1, CR#2, CR#3, and CR#5. On October 24, 2022 at approximately 12:00 PM and October 25, 2022 at approximately 2:00 PM, a review of the following agency…

The agency failed to follow its policy pertaining to infection control for two (2) of three (3) clinical home visits conducted: CR#2 and CR#3. A review of the following agency policies took place on October 26, 2022 at approximately 10:00 AM: Policy #IC-8.0 Clinical Bag Technique states, “Select a…

The agency failed to ensure that the home health aide received at least twelve (12) hours of in-service training during each twelve (12) month period.

The agency failed to ensure that the discharge summary was completed at the time of discharge for one (1) of two (2) discharge records reviewed: CR#6. On October 25, 2022 at approximately 2:00 PM, a review of the following agency policy took place.

The agency failed to demonstrate the presence of one or more of the following: criminal background check, orientation training, annual performance evaluation, tuberculosis symptom screen and risk assessment at time of hire, and annual tuberculosis education for six (6) of six (6) personnel files…