Neogen Care Corp

An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to provide infection control education to the family and/or caregiver for one of fourteen sampled patients (Patient 23).

An organization that provides skilled nursing services and therapeutic services to patients in their residence) failed to ensure an appropriate discharge from home health services for one of 14 sampled patients (Patient 32).

An organization that provides skilled nursing and other therapeutic services to patients in their own homes rather than in a traditional healthcare facility setting) failed to ensure that an Occupational Therapy comprehensive assessment was completed within five (5) days of the referral date for…

Rather than in a traditional healthcare facility setting) failed to ensure complete and accurate comprehensive assessment of the needs of one of 14 sampled patients (Patient 33) by failing to identify the need for a glucometer (portable device used to measure the amount of sugar in the blood) for…

An organization that delivers skilled nursing and other therapeutic services to a patient at home) failed to: 1. Obtain a physician order prior to providing occupational therapy services for lymphatic mobilization (a gentle, rhythmic stretching of the skin that encourages the natural flow of lymph…

Agency providing skilled nursing and other therapeutic services to a patient’s personal residence) failed to ensure communication with all physicians for three of fourteen sampled patients (Patient 25, Patient 26, and Patient 28) as follows: 1.The physician did not sign the plan of care (POC, a…

Rather than in a traditional healthcare facility setting) failed to ensure the HHA team communicated with the physician and/or followed up with the physician timely regarding the medications of one of 14 sampled patients (Patient 35) upon Patient 35’s admission to the HHA by failing to: 1. Verify…

Rather than in a traditional healthcare facility setting) failed to coordinate care to ensure physical therapy (PT, treatment to preserve, enhance, restore movement and physical function impaired by disease, injury, or disability) was provided as ordered by the physician for one of 14 sampled…

Rather than in a traditional healthcare facility setting) failed to ensure Registered Nurse (RN) 3 provide patient education to the caregivers (CG 3 and CG 4) of one of 14 sampled patients (Patient 33) regarding the blood pressure (BP, force of blood against the artery walls) and blood sugar (BS…

An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) Registered Nurse (RN 2) failed to communicate with the physician regarding one of fourteen sampled patient’s poorly managed condition at discharge (Patient 26).

An organization that provides skilled nursing and other therapeutic services to patients in their own homes rather than in a traditional healthcare facility setting) failed to ensure a discharge summary was completed for two of 14 sampled patients (Patient 26, Patient 27, and Patient 32).

Rather than in a traditional healthcare facility setting) failed to ensure the Condition of Participation (CoP, refer to the requirements that healthcare organizations must meet to participate in federal healthcare programs) regarding Comprehensive Assessment of Patients was met as follows: 1. The…

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to ensure the Condition of Participation (CoP-a set of minimum professional standards all home health agencies must meet to participate in Medicare [federal health insurance for anyone age 65…

Rather than in a traditional healthcare facility setting) failed to ensure the Condition of Participation (CoP, refer to the requirements that healthcare organizations must meet to participate in federal healthcare programs) for Skilled Professional Services was met as follows: 1. The HHA failed to…

Rather than in a traditional healthcare facility setting) failed to ensure the Condition of Participation (CoP, refer to the requirements that healthcare organizations must meet to participate in federal healthcare programs) for Organization and Administration of Services was met as follows: 1. The…

Rather than in a traditional healthcare facility setting) failed to ensure the Condition of Participation (CoP, refers to the requirements that healthcare organizations must meet to participate in federal healthcare programs) for Clinical Records was met as follows: 1. The HHA failed to ensure…

Rather than in a traditional healthcare facility setting) failed to implement emergency preparedness policies and procedures in accordance with federal regulations for two of 20 sampled patients (Patient 7 and Patient 8).

Rather than in a traditional healthcare facility setting) failed to ensure accurate and complete assessment of the tracheostomy (surgical opening in the trachea [windpipe] for breathing) site of one of 20 sampled patients (Patient 13) during the discharge home visit on 4/28/2026. This failure had…

Rather than in a traditional healthcare facility setting) failed to provide documented evidence that the HHA notified the Department in writing regarding the change in the Director of Patient Care Services (DPCS) within 10 days of the change.

Rather than in a traditional healthcare facility setting) failed to ensure that clinical record entries were appropriately authenticated, dated, and timed, as required for nine of 20 sampled patients (Patient 1, Patient 2, Patient 3, Patient 4, Patient 7, Patient 9, Patient 12, Patient 14 and…

The home health agency failed to ensure that patients and their representatives were able to effectively exercise their rights to voice complaints regarding treatment and care that was not provided, followed up on, and resolved in accordance with agency policy for 1 of twenty sampled patients…

Rather than in a traditional healthcare facility setting) failed to ensure the clinician conducted the initial assessment visit within 48 hours of the referral and/or of the patient’s return home for three of 20 sampled patients (Patient 7, Patient 14, and Patient 19).

The HHA failed to ensure completion of the comprehensive assessment for three of 20 sampled patients (Patient 7, Patient 9, and Patient 14) within 5 calendar days after the start of care.

Rather than in a traditional healthcare facility setting) failed to maintain an accurate review of all the current medications and treatments for five of 20 sampled patients (Patient 2, Patient 3, Patient 7, Patient 8, and Patient 14).

Rather than in a traditional healthcare facility setting) failed to ensure a detailed, individualized plan of care (POC) for one of 22 sampled patients (Patient 7) when Patient 7’s POC did not include skilled nursing interventions for bladder and bowel incontinence (involuntary and accidental…

Rather than in a traditional healthcare facility setting) failed to ensure the plan of care for two of 22 sampled patients (Patient 2 and Patient 7) contained all patient care orders.

Rather than in a traditional healthcare facility setting) failed to follow its policy and procedure for obtaining verbal orders for one of 22 sampled patients (Patient 3).

Rather than in a traditional healthcare facility setting) failed to follow up with physician regarding change of condition for two of 22 sampled patients (Patient 3 and Patient 6).

The Home Health Agency failed to ensure a revised and/or individualized plan of care was developed to reflect the current medical care and/or problems for two of 22 sampled patients (Patient 2 and Patient 3).

Rather than in a traditional healthcare facility setting) failed to ensure the interdisciplinary team (a group of professionals from different fields who collaborate closely, combining their unique skills and perspectives to achieve a common goal or solve a complex problem) coordinated care for one…

Rather than in a traditional healthcare facility setting) failed to follow the physician orders for two of 20 sampled patients (Patient 13 and Patient 21) by failing to: a.

Rather than in a traditional healthcare facility setting) failed to ensure that the skilled nurses submit completed skilled visit notes for one of 20 sampled patients (Patient 12).

Rather than in a traditional healthcare facility setting) Administrator failed to ensure an accurate list of active patients was maintained and updated whenever a patient was admitted or discharged to include one of 20 sampled patients (Patient 19) and ensure care was provided to all patients with…

Rather than in a traditional healthcare facility setting) failed to ensure the Clinical Managers managed the staff assignment for two of 20 sampled patients (Patient 13 and Patient 19) to ensure the admission physician orders were completed as ordered.

Rather than in a traditional healthcare facility setting) failed to ensure the Clinical Managers coordinated care for one of 20 sampled patients (Patient 3) to schedule a Skilled Nurse (SN) evaluation and follow up with the physician to address multiple episodes of high blood pressure (BP, pressure…

Rather than in a traditional healthcare facility setting) failed to ensure the Clinical Manager reviewed the referral for one of 20 sampled patients (Patient 13) to ensure that all the required home health services were ordered and/or clarified with the physician.

Rather than in a traditional healthcare facility setting) Clinical Manager failed to provide oversight to ensure the medication needs of one of 20 sampled patients (Patient 3) was continually assessed.

Rather than in a traditional healthcare facility setting) failed to ensure complete and accurate documentation on the clinical records for two of 20 sampled patients (Patient 13 and Patient 3) by failing to: Ensure complete and accurate documentation of the Registered Nurse (RN) assessment of the…

An organization that delivers skilled nursing and other therapeutics service to a patient at home) failed to update the comprehensive assessment (in-person clinical assessment of the patient's physical, functional, mental, psychosocial, and cognitive status to identify the needs of the patient and…

An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to meet the Condition of Participation (the terms healthcare organizations must meet in order to participate in federally funded healthcare programs) for Comprehensive Assessment…

An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to ensure the Condition of Participation (the terms healthcare organizations must meet in order to participate in federally funded healthcare programs) for care planning…

An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to meet the Condition of Participation (the terms healthcare organizations must meet in order to participate in federally funded healthcare programs) for organization and…

An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to provide physical therapy services as indicated on the plan of care and provide documented reason as to why patient’s physical therapy visit was decreased from twice a week to…

The HHA failed to ensure the comprehensive assessment of patients included documented evidence of an accurate and current medication profile (a record of all the medications that a patient is currently taking) for one of three sampled patients (Patient 7).

An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to update the plan of care for one of five sampled discharged patients (Patient 14) to reflect the change in physical therapy visit frequency.

An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to ensure Patient 9’s physician’s verbal order for Start of Care (SOC), dated 6/24/2025 was signed by the physician within 30 days of receiving the verbal order.

An organization that delivers skilled nursing and other therapeutic services to a patient’s personal residence) failed to ensure to perform accurate nursing assessments for two of three sampled patients (Patient 2 and Patient 7) by failing to ensure Registered Nurse (RN) 1 and RN 3 listened to…

Rather than in a traditional healthcare facility setting) failed to ensure the Condition of Participation (refer to the requirements that healthcare organizations must meet to participate in federal healthcare programs) regarding the Patient’s Rights was met as follows: 1. The Home Health Agency…

Rather than in a traditional healthcare facility setting) failed to ensure the Condition of Participation (refer to the requirements that healthcare organizations must meet to participate in federal healthcare programs) regarding Comprehensive Assessment of Patient was met as follows: 1. The HHA…

A public or private organization that delivers skilled nursing and other therapeutic services to a patient at home) failed to ensure the Condition of Participation (conditions that health care organizations must meet in order to begin and continue participating in the Medicare and Medicaid…

Rather than in a traditional healthcare facility setting) failed to ensure the Condition of Participation (conditions that health care organizations must meet in order to begin and continue participating in the Medicare and Medicaid programs) for Clinical Records was met as follows: 1. The HHA…

Rather than in a traditional healthcare facility setting) failed to ensure skilled nursing visits were done as ordered by the physician and in accordance with the plan of care for one of 17 sampled patients (Patient 3).

Rather than in a traditional healthcare facility setting) staff failed to follow accepted standards of practice, including the use of standard precautions related to the disposal of contaminated waste, to prevent the transmission of infections and communicable diseases for one of seventeen sampled…

The Home Health Agency (HHA) failed to ensure all entries in the clinical record must be appropriately authenticated (include signature and title) and dated for one of seventeen sampled patients (Patient 12).

The Home Health Agency (HHA) failed to ensure a written notice of patient’s rights and responsibilities was provided in a language preferred and understood by the patient for one of 17 sampled patients (Patient 2).

Rather than in a traditional healthcare facility setting) failed to provide information regarding the care to be furnished, expected outcomes of care, including patient-identified goals, and anticipated risks, benefits and factors that could impact treatment effectiveness for seven of seventeen…

Rather than in a traditional healthcare facility setting) failed to ensure complete and accurate assessment of the medical and nursing needs of two of 17 sampled patients (Patient 1 & 2).

Rather than in a traditional healthcare facility setting) failed to review and document all the patients' current medications/treatments to identify any potential adverse effects and drug reactions for five of seventeen sampled patients (Patient 1, Patient 2, Patient 5, Patient 10, and Patient 13).

A public or private organization that delivers skilled nursing and other therapeutic services to a patient at home) failed to ensure the plan of care included the frequency of visits, treatment, measurable outcomes and goals, and patient-specific education for five of seventeen sampled patients…

Rather than in a traditional healthcare facility setting) failed to record all patient care orders in the plan of care for three of seventeen sampled patients (Patient 5, Patient 9, and Patient 13).

Rather than in a traditional healthcare facility setting) failed to alert the physician regarding change of condition for one of seventeen sampled patients (Patient 5).

Rather than in a traditional healthcare facility setting) failed to ensure communication with all the physicians involved in the plan of care were documented for one of 17 sampled patients (Patient 2).

Rather than in a traditional healthcare facility setting) failed to integrate orders from all physicians or allowed practitioners involved in the plan of care to assure coordination of all services and interventions provided to two of seventeen sampled patients (Patient 2 and Patient 5).

Rather than in a traditional healthcare facility setting) failed to ensure an accurate and up-to-date medication schedule/instructions was provided to two of 17 sampled patients (Patients 1&2).

Rather than in a traditional healthcare facility setting) failed to ensure the patients’ clinical records contained completed comprehensive and ongoing assessments and plans of care for five of seventeen sampled patients (Patient 1, Patient 2, Patient 5, Patient 9, and Patient 13).

A public or private organization that delivers skilled nursing and other therapeutic services to a patient at home) failed to ensure the clinical record included emergency contact information for one of seventeen sampled patients (Patient 13).