Initial Comments:
Based on the findings of an onsite revisit and complaint investigation completed January 18, 2022. Patriot Home Care, Inc. had corrected the deficiency cited under PA Code, Title 28, Health and Safety, Part IV, Health Facilities, Subpart A, Chapter 51. The deficiency was cited as a result of a state license survey completed August 30, 2021.
Plan of Correction:
Initial Comments:
Based on the findings of an onsite unannounced revisit and complaint investigation completed January 18, 2022, Patriot Home Care had corrected the deficiencies cited under PA Code, Title 28, Health and Safety, Part IV, Health Facilities, Subpart H, Chapter 611, Home Care Agencies and Home Care Registries. The deficiencies were cited as a result of a state license survey completed August 30, 2021. One (1) new deficiency cited as a result of the complaint investigation.
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 review of a consumer file (CF), and interview with staff (EMP1), the agency failed to notify the consumer of a change in their service agreement for one (1) of one (1) consumer file reviewed (CF1).
Findings included:
Review of CF1 on January 18, 2022, at 10:05 a.m. showed CF1 signed his/her service agreement on 1/4/2022 for 96 hours of service per week. The consumer was to receive 14 hours of services per day Monday through Saturday and 12 hours of services on Sunday. On Friday 1/8/2022, no services were rendered. Review of CF1 with EMP1 did not show the consumer was notified of this change in their service agreement.
Interview with EMP1 on January 18, 2022, at 11 a.m. confirmed above findings.
Plan of Correction:Focus Area: 611.57
NPI: 1649681362
To ensure compliance:
Patriot has implemented a Back-Up Plan Policy on 2/1/22 that details steps on how to properly address a call out, with both the participant and possible aide.
This data will be tracked weekly using a spreadsheet to identify notifications needed to be relayed to the consumer. Patriot will track the effectiveness of this Policy on a weekly basis, beginning on 02/07/2022-3/31/22, to ensure problems and concerns are addressed.
The beginning Date of the first audit, on a weekly basis, will be starting on 02/07/22
Patriots Goal will be to have the participant well informed with any changes to their services in a timely manner through tracking incoming calls and determining where information needs to be directed based on information received. The spreadsheet Patriot is using will be color coated, and any red colored cells, which automate, will inform us of when a communication is needed.
This spreadsheet will be made available to the department upon request
A standard of 90% for Q1 will be made to ensure communications are documented. The spreadsheet will document calls needing follow up/communication with the participant, and how many of those calls were made. This will be tracked weekly to determine a tangible percentage.On a weekly basis, Patriot will review the spreadsheet to ensure the amount of "red" automated cells matches the number of communications were made with the consumer. This can be tracked seeing the spreadsheet and HHA Notes.
Weekly, Quarterly and Annually, Patriot will review systems to ensure efficiency.
The Administrator will be responsible for ensuring the facility is compliant with this Policy.
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