Ecumen Home Care Lakeshore

The facility failed to give the Notice of Medicare Non-Coverage (CMS 10123-NOMNC) at least 48 hours prior to discharge from services.

The facility failed to setup medications as ordered by the provider.

Agency failed to ensure visits were conducted in accordance with physician orders for 4 of 10 patients (P1,P3,P4, P10) and failed to notify the physician when the visits were not conducted according to the plan of care (POC).

The agency failed to ensure each patient had an initial assessment visit within 48 hours of the referral date for 5 of 10 patients (P1, P2, P4, P5, P6) reviewed in the sample.

RN-B stated she had just finished the current POC on 4/2/23 and had verbally gone over all of the medications with P6 but did not remember if P6 told her that she could not take the Lasix.

The agency failed to ensure the current Combined Federal and State Home Care Bill of Rights, including the current Medicare Beneficiary and Family Centered Care Quality Improvement Organization, was provided to new admissions to the agency's home care services, and to current clients.

The agency failed to ensure the physician was notified and/or consulted when modifications were made to the original plan of care (POC) for skilled nursing visits, for 6 of 12 patients (P11, P4, P1, P2, P9, P8), reviewed.

The agency failed to complete a comprehensive reassessment the last 5 days of each 60 day certification period, beginning with the start of care (SOC), for 2 of 2 patients (P5, P4) who received non-skilled home care services, and 1 of 1 patients (P2) who received skilled home care services.

The agency failed to identify frequency or duration of visits to be made, on the plan of care (POC) for 2 of 12 patients (P12, P3), reviewed in the sample.

The agency failed to have the total plan of care (POC) reviewed every 60 days for 2 of 12 patients (P2, P12) who were receiving home care services.

The agency failed to ensure all professional staff participated in the agency sponsored inservice training for 3 of 6 licensed staff (registered nurse (RN)-A, RN-B, occupational therapist (OT)-A) during personnel record review.

The agency failed to ensure supervisory visits of home health aides (HHAs) were completed every 14 days by a registered nurse for 2 of 3 patients (P2, P12) who received skilled services.

The agency failed to ensure direct supervision of the home health aide (HHA) was completed every 60 days for 1 of 2 non-skilled patients (P4) reviewed.

The agency failed to maintain a clinical record that contained current information for every patient receiving home health services, for 1 of 12 patients (P9), reviewed.