Initial Comments:
Based on the findings of an onsite home care agency state re-licensure survey and complaint survey conducted on April 22 2025, April 23, 2025, and offsite on April 28, 2025, May 1, 2025, May 5, 2025 and May 7, 2025. Aveanna Healthcare, was found to be in compliance with the requirements of 28 Pa. Code, Health Facilities, Part IV, Chapter 51, Subpart A.
Plan of Correction:
Initial Comments:
Based on the findings of an unannounced onsite home care agency state re-licensure survey and complaint investigation survey conducted on April 22, 2025, April 23, 2025, and offsite on, April 28, 2025, May 1, 2025, May 5, 2025 and May 7,2025. Aveanna Healthcare, was found to not be in compliance with the requirements of 28 Pa Code Health Facilities, part IV, Chapter 611, Subpart H. Home Care Agencies and Home Care Registries.
Plan of Correction:
611.57(a) LICENSURE
Consumer Rights
Name - Component - 00
(a) The consumer of home care services provided by a home care agency or through a home care registry shall have the following rights: (1) To be involved in the service planning process and to receive services with reasonable accommodation of individual needs and preferences, except where the health and safety of the direct care worker is at risk. (2) To receive at least 10 calendar days advance written notice of the intent of the home care agency or home care registry to terminate services. Less than 10 days advance written notice may be provided in the event the consumer has failed to pay for services, despite notice, and the consumer is more than 14 days in arrears, or if the health and welfare of the direct care worker is at risk.
Observations:
Based on a review of consumer records (CR's) and visit calendar, and an interview with the administrator, the agency did not provide service with reasonable accommodation of individual needs and preferences except where the health and safety of the direct care worker is at risk for one (1) of three (3) CRs. (CR #1).
Findings include:
A review of consumer records (CR's) and visit calendar was conducted on April 22, 2025, at approximately 10:32 a.m. and April 23, 2024, at approximately 9:52 a.m.
CR # 1 Start of Care: 2/26/2025, Receive services via waiver from UMPC. Hours authorized from February 25, 2025, to January 18, 2026, - 3936.25. Twelve (12) hours per day, 7 days a week.
A review of agency calendar shows the week of March 2, 2025, through March 8, 2025. Late visits on March 3, 2025, from 11:59-21:04.
Late visits on March 4, 2025, from 10:30-15:26.
Late visits on March 6, 2025, from 10:27-16:06.
Late visits on March 7, 2025, from 12:00-21:00.
The week of March 9, 2025, through March 15, 2025, Late visits on March 10, 2025, from 10:28-21:01.
Late visits on March 11, 2025, from 09:20-21:03.
Late visits on March 13, 2025, from 09:30-21:03.
The week of March 16, 2025, through March 22, 2025, missed visits on March 16, 2025, missed visit note aide had family emergency.
Late visits on March 17, 2025, from 09:45-21:00.
Late visits on March 18, 2025, from 09:45-21:07.
Late visits on March 19, 2025, from 09:53-21:00.
Late visits on March 20, 2025, from 09:13-21:17.
Late visits on March 21, 2025, from 09:23-21:12.
March 22, 2025, from 09:00-12:56 staff left around 1 p.m. another staff filled in 14:30-21:05.
The week of March 23, 2025, through March 29, 2025, late visits on March 23, 2025, from 11:49-21:00.
Late visits on March 24, 2025, from 10:00-21:00.
Late visits on March 25, 2025, from 10:35-21:03.
Late visits on March 26, 2025, from 11:18-19:00.
Late visits on March 28, 2025, from 13:24-21:28.
Late visits on March 29, 2025, from 13:17-21:16, PF # 2 believed her scheduled shift was to start at that time similar to March 28, 2025.
The week of March 30, 2025, through March 31, 2025, late visits on March 30, 2025, 12:16-19:46.
Late visits on March 31, 2025, from 12:14-20:44.
The week of April 1, 2025, through April 5, 2025, late visit April 2, 2025, 9:30-21:00.
Late visits on April 3, 2025, from 12:30-21:00.
Late visits on April 4, 2025, from 09:30-21:00.
The week of April 6, 2025, through April 12, 2025, late visit April 7, 2025, 10:08-21:13.
Late visit on April 8, 2025, from 09:45-21:12.
Missed visit on April 9, 2025, missed visit note consumer appointment.
Late visit on April 11, 2025, from 09:21-21:03.
The week of April 13, 2025, through April 19, 2025, late visit April 14, 2025, 09:20-21:00.
Late visit on April 15, 2025, from 09:43-21:10.
Late visit on April 18, 2025, from 11:30-21:00.
The week of April 20, 2025, through April 26, 2025, late visit April 21, 2025, 10:20-21:00.
Staff left early on April 22, 2025, at 11:00.
An interview with the Administrator was conducted on April 23, 2025, at 11:26 a.m. confirmed the above findings.
Plan of Correction:Aveanna Healthcare (Agency) will provide a reasonable accommodation of individuals needs and preferences. We will make sure to uphold that right by notifying consumers of any change in caregiver and/or shift time. Aveanna will have clear documentation of notification to consumer. All Internal staff will be re-educated on this process.
Initial Comments:
Based on the findings of an onsite home care agency state re-licensure survey and complaint survey conducted on April 22, 2025, April 23, 2025 and offsite on April 28, 2025, May 1, 2025, May 5, 2025 and May 7, 2025. Aveanna Healthcare, was found to be in compliance with the requirements of 35 P.S. 448.809 (b).
Plan of Correction:
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