Initial Comments:
Based on the findings of a state license complaint investigation survey completed on April 22, 2025, 365 Home Care Inc Name was found not to be in compliance with the requirements of PA Code, Title 28, Health and Safety, Part IV, Health Facilities, Subpart A, Chapter 51.
Plan of Correction:
51.3 (g)(1-14) LICENSURE
NOTIFICATION
Name - Component - 00
51.3 Notification
(g) For purposes of subsections (e)
and (f), events which seriously
compromise quality assurance and
patient safety include, but not
limited to the following:
(1) Deaths due to injuries, suicide
or unusual circumstances.
(2) Deaths due to malnutrition,
dehydration or sepsis.
(3) Deaths or serious injuries due
to a medication error.
(4) Elopements.
(5) Transfers to a hospital as a
result of injuries or accidents.
(6) Complaints of patient abuse,
whether or not confirmed by the
facility.
(7) Rape.
(8) Surgery performed on the wrong
patient or on the wrong body part.
(9) Hemolytic transfusion reaction.
(10) Infant abduction or infant
discharged to the wrong family.
(11) Significant disruption of
services due to disaster such as fire,
storm, flood or other occurrence.
(12) Notification of termination of
any services vital to continued safe
operation of the facility or the
health and safety of its patients and
personnel, including, but not limited
to, the anticipated or actual
termination of electric, gas, steam
heat, water, sewer and local exchange
of telephone service.
(13) Unlicensed practice of a
regulated profession.
(14) Receipt of a strike notice.
Observations:
Based on review of agency documents, the Department of Health's Event Reporting System (ERS) and staff (EMP) interview, it was determined that the agency failed to report under 28 Pa. Code, Health Facilities, Part IV, Chapter 51, Subpart A to the Department of Health of any events that could compromise quality assurance or patient safety.
Findings include:
Review of the agency grievance log on 4/21/25, at 1:33 p.m. revealed a "Compliant Management Form" date 4/12/25, indicating a representative of Adult Protective Services (county agency that investigates abuse concerns for people under 60 years of age) was at CF1's residence in response to a compliant.
Review of the State Emergency Reporting System on 4/21/25, at 2:44 p.m. revealed no entries reported on consumer CF1.
During an interview on 4/22/25, at 3:17 p.m. EMP1 the Administrator confirmed the above information.
Plan of Correction:Enter all complaints filed into the Department of Health's Event Reporting System (ERS).
The Chief Compliance Officer will be responsible for reviewing all Complaint Management Forms and ensuring that they are entered into the ERS.
Initial Comments:
Based on the findings of a state license complaint investigation survey completed on April 22, 2025, 365 Home Care Inc was found to 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:
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