Caring Hearts Health Care Services, LLC.
Inspection 2025-07-11
· Complaint, Recertification · 17 deficiencies · CMS source report (PDF)The home health agency (HHA) failed to ensure that the individualized plan of care include the frequency and duration of visits, all medications and treatments (G574); to administer drugs, services, and treatments only as ordered by a physician or allowed practitioner (G580); to ensure that (3)…
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The agency failed to conduct exercises to test the emergency plan annually.
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The agency failed to update of the comprehensive assessment which include a summary of the patient's progress in meeting the care plan goals at discharge for one (1) of seven (7) clinical record reviewed: CR#6. Findings include: A review of agency’s policies was conducted on 7/11/25 starting at 3…
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The home health agency failed to provide the patient and caregiver with a copy of written instructions for one (1) of three (3) home visit observations: observation # 1. Findings include: A review of agency’s policies was conducted on 7/11/25 starting at 3 pm.
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The home health agency failed to provide the patient and caregiver with a copy of written instructions for one (1) of three (3) home visit observations: observation # 2. Findings include: A review of agency’s policies was conducted on 7/11/25 starting at 3 pm.
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The agency failed to provide a comprehensive assessment that is updated and revised as frequently as the patient's condition warrants due to a major decline or improvement in the patient's health status for two (2) of seven (7) clinical records reviewed: CR# 1 and 3. Findings include: A review of…
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The agency failed to ensure a comprehensive assessment was conducted no later than (5) calendar days after the start of care for one (1) of seven (7) CR reviewed: CR#3. Findings include: A review of agency’s policies was conducted on 7/11/25 starting at 3 pm.
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The agency failed to ensure the comprehensive assessment must accurately reflect the patient's status, and must include, at a minimum, the following information: (1) The patient's current health, psychosocial, functional, and cognitive status for one (1) of seven (7) CR reviewed: CR#3. Findings…
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The agency failed to ensure a comprehensive assessment was conducted the last 5 days of every 60 days beginning with the start-of-care date for two (2) of seven (7) CR reviewed: CR#1 and 3. Findings include: A review of agency’s policies was conducted on 7/11/25 starting at 3 pm.
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The agency failed to ensure that the individualized plan of care include the frequency and duration of visits, all medications and treatments for three (3) of seven (7) CRs reviewed: CR# 1, 2, and 3. Findings include: A review of agency policy was conducted on 7/11/25 approximately 3 pm.
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The agency failed to administer drugs, services, and treatments only as ordered by a physician or allowed practitioner for four (4) of seven (7) CRs reviewed: CR# 1, 2, and 3. Findings include: A review of agency’s policies was conducted on 7/11/25 staring at 3 pm.
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The home health agency failed to ensure that (3) Verbal orders must be accepted only by personnel authorized to do so by applicable state laws and regulations and by the HHA's internal policies; (4) When services are provided on the basis of a physician or allowed practitioner's verbal orders, a…
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The agency failed to ensure the individualized plan of care must be reviewed and revised by the physician or allowed practitioner who is responsible for the home health plan of care and the HHA as frequently as the patient's condition or needs require, but no less frequently than once every 60…
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The agency did not ensure that the home health aide complete a training and competency program for two (2) of two (7) home health aide PF reviewed: PF# 4 and 7. Findings include: A review of agency’s policies was conducted on 7/11/25 starting at 3 pm.
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The agency failed to ensure the following: The home health aide completed a minimum of 75 hours of classroom and supervised practical training in a practicum laboratory or other setting in which the trainee demonstrates knowledge while providing services to an individual under the direct…
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The agency failed to ensure that administrator (ii) be responsible for all day-to-day operations of the HHA.
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The agency failed the following:(i) A completed discharge summary that is sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the HHA (if any) within 5 business days of the patient's…
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