A-1 International Homecare

The agency failed to ensure that each patient received an individualized plan of care that was signed by a doctor in 2 of 7 records (MR # 6 and 7) potentially resulting in the lack of physician oversight and unmet needs of the patient.

The agency failed to ensure the registered nurse conducted the initial assessment of the patient for 1 of 7 (MR #1) records reviewed in which Skilled Nursing services were ordered, which has the potential to negatively affect the health and well-being of these patients.

The agency failed to incorporate an individual Emergency Preparedness Plan into the Comprehensive Patient Assessment for 3 of 7 records reviewed (MR#’s 1, 3 and 5) for Emergency Preparedness from a total of 7 sampled records reviewed, resulting in the potential for negative patient outcomes in the…

The agency failed to have a registered nurse (RN) perform a comprehensive drug review to identify any potential adverse effects and drug reactions in 6 of 7 records (MR #1, 3, 4, 5, 6, and 7) reviewed potentially resulting in undetected or harmful medication effects for all patients serviced by…

The agency failed to maintain a record of referral and acceptance of patients for services that were ordered for 3 of 7 (MR# 2, 3, and 6) records reviewed, resulting in unmet record maintenance and availability.

The agency failed to ensure clinical notes were accurate for 2 of 7 (MR# 1 and 4) records reviewed, resulting in the potential to negatively affect the health and well-being of these patients.

The agency failed to ensure a discharge summary was sent to the primary care practitioner within 5 days of discharge from the home health agency in 7of 7 records (MR # 1, 2, 3, 4, 5, 6, and 7) resulting in the potential for unidentified continuing health care concerns and unmet care needs.

The agency failed to update their policies and procedures, ensure initial training and training every 2 years, and annually test their emergency plan.

The Agency failed to ensure the Registered Nurse conducted the initial assessment visit within 48 hours of referral to determine the immediate care and support needs of the patent including homebound status and eligibility for the Medicare home health benefit for 5 of 7 records reviewed (MR#s 3, 4…

The Agency failed to ensure the plan of care covered all pertinent interventions with reportable parameters, failed to include all functional limitations, and objectively measurable goals specific to the needs of the patient for 3 of 7 records reviewed (MR's #1, 2, and 3) (Refer to G574); failed to…

The agency failed to develop, implement and maintain a quality assessment and performance improvement program which had the potential to negatively affect all 27 patients that were admitted during the past 12 months, resulting the potential for poor patient outcomes due to the provision of…

The agency failed to develop and implement emergency preparedness policies and procedures, that were based on the emergency plan, risk assessment, and the communication plan, to give guidance to the staff during an emergency situation and updated annually.

The agency failed to ensure staff had initial training and training every 2 years regarding the agency's emergency preparedness policies and procedures, resulting in staff being unprepared in the event of an actual emergency.

The agency failed to conduct exercises to annually test their emergency plan, resulting in staff not being familiar with their roles and responsibilities during an emergency.

The Agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, measurable data to use as a baseline for future assessments…

The agency failed to provide services as ordered on the by the physician in 2 of 7 records reviewed (MR#3 and 7), resulting in the potential for poor patient outcomes.

The home health agency failed to advise their patients of the names, addresses and telephone numbers of the federally and state funded entities that serve the area where the patient resides, resulting in the potential for unmet patient care needs for the 27 of 27 patients served by the agency…

The Agency failed to ensure the Registered Nurse conducted the initial assessment visit within 48 hours of referral to determine the immediate care and support needs of the patent including homebound status and eligibility for the Medicare home health benefit for 5 of 7 records in which nursing…

The Agency failed to ensure the patient's Activities of Daily Living {ADLs} needs were adequately met in the patient's home for 1 of 7 sampled records reviewed (MR# 2) resulting in potential for poor hygiene, psychological decline and potential for injury.

The Agency failed to ensure the comprehensive assessment included a review of all medications for potential adverse effects, drug interactions, and duplicate drug therapy in 5 records (MR#s 1, 2, 4, 5 and 6) from a total of 7 sampled records reviewed, resulting in the potential for harmful…

The agency failed to ensure the plan of care covered all pertinent interventions with reportable parameters, failed to include all functional limitations, and objectively measurable goals specific to the needs of the patient for 7 (MR's #1, 2, 3,4, 5, 6 and 7) records, from a total of 7 sampled…

Therapy services failed to provide the patient with a copy of the home exercise program with instructions to meet the patient's needs when performing the prescribed home exercises in the home in 1 of 2 records reviewed (MR#1) in which a joint survey home visit was conducted with the physical…

The agency failed to ensure a discharge summary was completed, accurate, and sent to the physician within 5 business days of the patient's discharge for 5 of 5 (MR#s 2, 3, 4, 5 and 6) records reviewed in which the patient was discharged from the agency from a total of 7 sampled records reviewed…