Parkview Health at Home LLC

The agency failed to submit OASIS assessments within 30 days for 47 of 5741 assessments completed in calendar year 2025. Findings include: Review of the Internet Quality Improvement and Evaluation System HHA Error Summary by Agency evidenced 47 of 5741 assessments submitted more than 30 days after…

The agency failed to ensure the POC was based on the patient’s assessed needs for 1 of 6 patients with a home visit observation who received a skilled service in addition to skilled nursing (Patient #2).

The agency failed to ensure hand hygiene was performed after the aide touched a contaminated surface and before providing direct patient care, for 1 of 1 observation of an aide providing care (HHA 1).

The agency failed to ensure patients received all services ordered in the plan of care for 2 of 18 active patients reviewed (Patients #4 and 18).

The home health agency failed to ensure the initial assessment was completed within 48 hours of discharge for 1 of 9 active patients with home visits observations (Patient #5).

The home health agency failed to ensure a complete comprehensive assessment including all ordered disciplines was completed within 5 days of SOC for 2 of 16 active patient records reviewed of patients admitted in 2024 or later (Patient #12 and 14).

The home health agency failed to ensure the patient’s medications were accurately assessed for 2 of 9 patients with home visit observations (Patient #3 and 9).

The home health agency failed to ensure all equipment and supplies used by the patient were included in the POC for 1 of 9 patient records reviewed with home visit observations (Patient #8).

The agency failed to ensure the SN updated wound care orders for 1 of 2 patients with wounds who had home visit observations (Patient #3).

The home health agency failed to ensure provider orders were received prior to providing services for 1 of 18 active patient records reviewed (Patient #9).

The home health agency failed to ensure verbal orders were authenticated by the physician for 4 of 18 active patient records reviewed (Patient #5, 9, 10, and 12).

The home health agency failed to ensure HHAs were supervised by an RN at least every 14 days for 4 of 7 active patient records reviewed of patients receiving HHA services (Patient #7, 13, 15, and 16).

The home health agency failed to ensure skilled professionals documented accurate information of patient assessment for 2 of 7 active records reviewed (#1, 2) 1. Review of an agency policy dated 9/7/2021, titled “Home Health Initial and Comprehensive Assessment” indicated “… comprehensive…

The agency failed to evidence it developed and maintained emergency preparedness policies and procedures based on its emergency plan, the facility and community-based hazard vulnerability assessment (HVA), or the communication plan (E-0013); failed to evidence emergency preparedness…

The home health agency failed to ensure all patients' plans of care were reviewed and signed by the certifying physician within 30 days (per agency policy) (G572); failed to ensure all patients' plans of care included all required elements (G574); failed to ensure the physician was promptly…

The agency failed to evidence it developed and maintained emergency preparedness policies and procedures based on its emergency plan, the facility and community-based hazard vulnerability assessment (HVA), or the communication plan.

The agency failed to evidence emergency preparedness policies/procedures which addressed actions required by the agency if unable to contact staff or patients, what surrounding facilities it had transfer agreements with to ensure patient care was continued, or outline of timelines for transfer of…

The agency failed to evidence a policy based on the emergency plan that addressed the use of volunteers in an emergency or other emergency staffing strategies, which included the process and role for integration of State and Federally designated health care professionals to address surge needs…

The agency failed to evidence it developed and maintained a written emergency communication plan that contained how the facility coordinated patient care with other healthcare providers, and with state and local public health departments to protect patient health and safety in the event of a…

The agency failed to maintain an emergency preparedness communication plan that included the requirement to include names and contact information for staff, entities providing services under arrangement, patients' physicians, and volunteers.

The agency failed to ensure the integrated emergency preparedness plan with the hospital ensured the licensed home health agency met all the requirements of an integrated health system's plan.

The agency failed to ensure all patients' plans of care were reviewed and signed by the certifying physician within 30 days (per the agency's own policy) for 2 of 18 records reviewed (#2, 12).

Agency staff failed to follow infection control policies and procedures for 5 of 7 records reviewed with home visits.

Agency staff failed to follow infection control policies and procedures for 1 of 7 records reviewed with home visits.

The home care agency failed to ensure the patients' care preferences were respected for 1 of 1 records reviewed from the agency complaint log regarding the use of face masks during the COVID-19 pandemic (#8).

The agency failed to ensure all patients' had a confidential clinical record and paper documents were maintained in a locked area with restricted access to protect the privacy of protected health information (PHI).

The registered nurse failed to ensure the comprehensive assessment contained patient specific discharge planning for 18 of 18 records reviewed.

The registered nurse (RN) failed to ensure the comprehensive assessment contained a complete review of medications and medication lists were accurately maintained for 5 of 18 records reviewed (#7, 14, 16, 17, 18).

The plan of care failed to evidence the diagnosis of vitamin D deficiency.

The skilled nurse failed to ensure the physician was notified of changes in condition for 1 of 18 records reviewed (#9).

The agency failed to ensure all patients and/or caregivers received ongoing education and training regarding the needs of the patient as identified in the plans of care and failed to evidence patient and/or caregiver responses and comprehension of all training provided for 8 of 18 records reviewed…

The agency failed to ensure all patients received a home visit schedule which included discipline frequencies, written in plain language, and was consistent with the patient's most current plan of care for 6 of 7 patients with observed home visits (#1, 2, 3, 4, 11, 17).

The agency failed to ensure that all patients received a medication schedule with instructions for use for 2 of 7 home visits observed (#1, 9).

6. During a home visit with patient #1 (start of care 2/17/2021) on 5/7/2021 at 10:30 AM, the patient ' s home folder was reviewed, which evidenced an undated document titled "Care Plan Summary" which stated "... This is your plan for home health ...." The document evidenced a section titled…

The agency failed to ensure all patients and/or caregivers received written information of the name and contact information of the home health agency's clinical manager for 7 of 7 records reviewed for patients with home visits.

Failed to evidence assessment of vital signs was performed by the PT, and stated " ... Vitals taken by RN prior to this visit . ..." Review of the document dated and signed 5/4/2021 at 2:09 PM by PT (physical therapist) S titled "PT Routine Visit" evidenced the evaluation was completed on 5/4/2021…

The agency failed to services were provided as established by the physician in the plan of care (see G 572); failed to ensure the plan of care included all durable medical equipment and failed to ensure the plan of care sent to the attending physician for authorization contained orders for care…

The agency failed to services were provided as established by the physician in the plan of care for 4 of 19 patients (# 3, 7, 16, and 17).

The agency failed to ensure all home health aides (HHA) followed infection control policies for 1 of 2 HHA care observations.

The agency failed to ensure patients received all services outlined in the plan of care for 4 of 19 patients.

The agency failed to ensure the patient admission packet included the Indiana State Department of Health home health agency hotline phone number for 1 of 1 agency.

The agency failed to ensure all medications patients were taking were updated, reviewed, and communicated as necessary for 1 of 19 clinical records reviewed.

The agency failed to ensure the plan of care included all durable medical equipment for 5 of 19 (Patients #3, 8, 15, 16, and 17) and patients; failed to ensure the plan of care sent to the attending physician for authorization contained orders for care, frequencies of visits, and established goals…

The agency failed to ensure the attending physician authorized all services prior to the agency having furnished care for 17 of 19 patients whose clinical record was reviewed (Patients #1-5, 7-9, and 11-14, and 15-19).

The agency failed to ensure the accuracy and presence of verbal orders received by skilled nursing (SN) for 2 of 19 clinical records reviewed.

The agency failed to ensure all medications a patient prescribed was followed up with the physician within a timely manner as necessary for 1 of 19 clinical records reviewed (# 1) and failed to ensure staff documented coordination of care to ensure all ordered evaluations were provided for 4 of 19…

The agency failed to ensure coordination of care between the agency, physician, and patient had been conducted within a timely manner for 1 of 19 clinical records reviewed (# 1); and Findings include 1. The agency's policy titled "Physician Orders/ Plan of Care," no number, dated 1/9/18 stated "III.

The skilled professionals failed to ensure the plan of care included all durable medical equipment for 5 of 19 (Patients #3, 8, 15, 16, and 17) patients and failed to ensure the plan of care sent to the attending physician for authorization contained orders for care, frequencies of visits, and…

The skilled professionals failed to ensure care and services were provided as established by the physician in the plan of care for 4 of 19 patients (# 3, 7, 16, and 17).

The administrator failed to manage the day to day operations for 1 of 1 agency.

The clinical manager failed to ensure coordination of care between the agency, physician, and patient had been conducted within a timely manner for 1 of 19 clinical records reviewed (# 1); and failed to ensure staff documented coordination of care to ensure all ordered evaluations were performed…

The clinical manager failed to services were provided as established by the physician in the plan of care for 4 of 19 patients (# 3, 7, 16, and 17); failed to ensure the plan of care included all durable medical equipment for 5 of 19 (Patients #3, 8, 15, 16, and 17) patients and failed to ensure…