1ST Priority Healthcare Inc

The agency failed to ensure Home Health Aides (HHA) followed appropriate infection control practices per agency policy while providing patient care in 1 of 3 home visits conducted.

The agency failed to ensure the Administrator was qualified to serve in the role.

The agency failed to ensure documentation for home health aide training was complete and accurate, in 3 of 5 home health aide personnel records reviewed.

The agency failed to ensure home health aide (HHA) followed the patient's aide plan of care (POC) in 1 of 3 home visits.

The agency failed to ensure Home Health Aides (HHA) maintained a current certification in their employee record for 1 of 1 HHA without a current certificate.

The agency failed to ensure staff members took appropriate infection prevention measures while providing hands on care to patients in 1 of 3 home visit observations.

The agency failed to ensure the comprehensive assessments were complete and accurately reflected the patients’ status for 2 of 5 active clinical records.

The agency failed to complete a medication reconciliation to include duplicative medications and or medications discontinued in 2 of 5 records reviewed.

The agency failed to ensure physicians were contacted and collaborated with prior to recertification in 4 of 5 active clinical records reviewed.

The agency failed to ensure the home heath aide reported a patient's change in condition to the registered nurse, in 1 of 7 clinical records reviewed.

The agency failed to ensure home health aides provided the prescribed frequency of visits/ services as ordered in the plan of care for 1 of 5 active patient records reviewed.

The agency failed to ensure all adverse events were tracked and analyzed so that it may be included within their Quality Assessment Performance Improvement (QAPI) program.

The agency failed to ensure documentation was appropriately authenticated with date, physician signature, nurse signature, and failed to ensure orders contained patient names in 3 of 5 active records reviewed.

The agency failed to ensure that all medications that the patient was receiving was listed on the medication profile for 2 of 5 active patient records reviewed.

The agency failed to ensure the plan of cares were accurately completed, contained accurate medications, frequency/ duration of services, treatment and services to be provided by skilled nursing, and wound care being provided by an outside entity for 3 of 5 active records reviewed.

The agency failed to ensure the plan of care (POC) is updated when an interim order is received for 1 of 5 active patients.

The agency failed to ensure treatment and services were not provided without a physician's order for 2 of 5 active records reviewed.

The agency failed to ensure coordination of care in 1 of 1 records reviewed of a patient receiving wound care from a Medicare home health agency in a sample of 7. (#2) Findings include: During the entrance conference with the administrator at 10:25 a.m. on 10/20/2020, when questioned about the type…

The agency failed to ensure the HHA reported a patient fall to the nurse or agency representative on 1 of 1 closed records reviewed.

The agency failed to ensure that home health aide supervisory visits were completed every 14 days in 2 of 2 active patient records reviewed receiving skilled nursing services in a sample of 7. (#3 and #5) Findings include: 1. Record review for patient #3 was completed on 10/23/2020 and revealed a…

The agency failed to ensure there was a written agreement with other agencies indicating who is the primary agency, the services to be provided the agency, and when visits will be made to ensure there is no overlap of visits in 1 of 1 active patients receiving care from another agency.

The agency failed to ensure the clinical record contained comprehensive assessments that had been completed, physician orders and clinical notes were incorporated within the patients clinical record when written for 3 of 5 active (#2, #3, #5) records reviewed and 2 of 2 closed record reviewed.

The agency failed to ensure the clinical record contained discharge summaries that was sent to the primary care physician within 5 business days of a patient's discharge or within 2 days of a transfer in 2 of 2 closed records reviewed.