Freedom Home Care, LLC

The agency failed to ensure a facility based and community based risk assessment utilizing an all-hazards approach was updated every two years (E0006), attempts to contact local, regional, state, and federal officials to ensure collaboration in emergencies (E0009), ensure the patients' emergency…

The agency failed to ensure the comprehensive assessments included all necessary content and information of the patient (G0528), include the patients' goals, strengths, and care preferences (G0530), included the rehabilitation potential (G0534), and incorporate OASIS items for patients receiving…

The home health agency failed to ensure the Administrator notified the Indiana Department of Health the home health agency added PT services and documented all referrals received (G0948) and failed to ensure the home health agency provided skilled nursing services (G0982).

The Governing Body failed to ensure their Quality Assurance Performance Improvement (QAPI) program identified and developed a plan to obtain skilled patient referrals for 1 of 1 agency QAPI program.

The agency failed to ensure skilled nursing services were provided for 1 of 1 home health agency.

The agency failed to ensure they discharged patients appropriately for 1 of 1 active clinical records (Patient #1) reviewed with a hold on HHA services going past the certification period and 1 of 1 closed clinical records (Patient #9) reviewed with a hold on HHA services going past the…

The agency failed to ensure the comprehensive assessments were complete and accurately reflected the patients' health status for 3 of 8 active clinical records reviewed.

The agency failed to ensure the comprehensive assessment included the patient's strengths, goals, and care preferences for 8 of 8 active clinical records reviewed (Patient # 1, 2, 3, 4, 5, 6, 7, and 8) Findings Include: 5. A review of Patient #1's comprehensive assessment dated 02/14/2026 evidenced…

Wednesday, April 1, 2026 3:58 PM Based on record review and interview the agency failed to ensure the comprehensive assessment included the patient's rehab potential and discharge planning needs for 8 of 8 active clinical records reviewed (Patient # 1, 2, 3, 4, 5, 6, 7, and 8) Findings Include: 4.…

The agency failed to ensure all OASIS sections in the comprehensive assessment were completed for 2 of 2 active clinical records reviewed with a patient previously receiving SN services (Patients #7 and #8) and 2 of 2 inactive clinical records reviewed with the patient receiving a skilled service…

The agency failed to ensure a resumption of care was performed within 48 hours of a patient's return home from a hospitalization for 1 of 1 patients hospitalized (Patient #7) Findings Include: During an interview with the DON on 04/01/2026 at 11:15 AM, they indicated a ROC was to be completed…

The agency failed to ensure the POC included all necessary elements including medications listed in simple terms, patient specified goals, interventions within the scope of a HHA, and matched the comprehensive assessment for 9 of 10 clinical records reviewed (Patients # 1, 2, 3, 4, 5, 6, 7, 8, and…

The agency failed to ensure the agency received timely orders to hold services for 1 of 1 active clinical records reviewed with HHA services placed on hold (Patient #1) and 1 of 2 inactive records reviewed with no order to the physician to DC services (Patient #10) Findings Include: 1. An agency…

The agency failed to coordinate care with other entities providing services for 2 of 2 active clinical records reviewed with patients currently receiving or previously received outside services (Patient #2 and #3) Findings Include: 5. A review of Patient #5's active clinical record evidenced a POC…

The agency failed to ensure HHAs were trained to perform Gastrostomy tube (G-tube, a tube inserted through the abdomen to bring nutrition and medications to individuals unable to eat orally) tasks by an accredited agency for 1 of 2 active clinical records reviewed with a patient having a G-tube.

The agency failed to ensure the HHAs were supervised and included all the necessary elements for 3 of 3 pediatric active records reviewed (Patients #1, #2, and #5) and 2 of 3 records reviewed who previously receiving SN services.

The Administrator failed to notify the Indiana Department of Health the home health agency added physical therapy as a service the agency provided before providing PT services and tracked referrals for SN services for 1 of 1 home health agency.

The agency failed to ensure all HHA visit notes were completed for every day worked for 5 of 8 active clinical records reviewed.

The agency failed to ensure a discharge/transfer summary contained all the necessary elements and was sent to the physician for a patient transferred or discharged from the agency for 2 of 2 active clinical records reviewed (Patients #7 and #8) and 2 of 2 inactive clinical records reviewed (Patient…

The agency failed to ensure the comprehensive assessment was completed and accurately reflected the patient’s condition and information for 1 of 3 active clinical records reviewed without a home visit.

The agency failed to ensure the comprehensive assessments contained patient identified goals and preferences for 4 of 5 active clinical records reviewed.

The agency failed to ensure the primary caregiver and their availability was listed in the comprehensive assessment for 4 of 5 active clinical records reviewed.

The agency failed to ensure the plan of care was up-to-date and reflected an accurate diagnosis for 1 of 3 active records reviewed without a home visit.

The agency failed to inform the physician the patient was hospitalized and send hold orders for 1 of 1 active clinical record reviewed with a recent hospitalization.

The agency failed to accurate information was provided to a patient’s case manager for 1 of 3 active clinical records reviewed with no home visits.

The Agency failed to ensure the Home Health Aide duties where within their scope of practice in 2 of 2 active clinical records reviewed with home observations.

The agency failed to ensure the after-hours on-call process was operating and available to the public, clients, and employees as noted after 2 of 2 unsuccessful attempts to reach the after-hours phone number.

The agency failed to safeguard and protect patient information from unauthorized viewing for 1 of 1 agency.