Abc Home Health Care Plus LLC

The agency failed to report all Outcome and Assessment Information Sets (OASIS) data collected within 30 days of completion for 88 out of 88 submitted records reviewed from 4/1/25-4/30/26. Findings include: The HHA Error Summary by Agency report period of 4/1/2025-4/30/2026 identified an error code…

The agency failed to ensure submitted the Outcome and Assessment Information Sets (OASIS) were accurate and reflected the current status of the patient at the time the OASIS was completed for 2 of 7 patients (P1, P5) whose records were reviewed for OASIS assessments.

The agency failed to ensure a comprehensive review of all medications taken was completed for 2 of 5 patients (P4, P5) whose medications were reviewed.

The agency failed to ensure the patient's plan of care included all required components in the patient's individualized care plans for 3 of 7 patients (P2, P4, P5) whose care plans were reviewed.

The agency failed to ensure all patient care orders, were part of the plan of care (POC) for of 1 of 3 patients (P3) reviewed during home visits.

The agency failed to ensure all services were provided as ordered via the provider and/or ensure the physician was notified when services were not provided as ordered for 3 of 7 patients (P1, P2, P5) reviewed for skilled nursing services.

The agency failed to ensure a patient's individualized plan of care was reviewed by the primary care provider at least once every 60 days, beginning with the start of care date for 2 of 7 patients (P4, P6) whose plan of cares were reviewed.

The facility failed to review and maintain, a comprehensive Emergency Preparedness Program.

The facility failed to ensure documentation of collaboration efforts with local and state emergency preparedness authorities.

The facility failed to develop and implement emergency preparedness policies and procedures that included a system to ensure the care needs of the patients continue to be met during an emergency.

The facility failed to develop and implement emergency preparedness policies and procedures that included a system to inform state and local emergency preparedness officials of the need for patient evacuations from their residences during an emergency.

The facility failed to develop and implement emergency preparedness policies and procedures that included a system to address required actions needed when there was an inability to contact staff or patients and reporting capabilities to the local and state emergency officials during an emergency.

The facility failed to develop and implement emergency preparedness policies and procedures to preserve patient information, protect confidentiality of patient information, and secure and maintain availability of records in the event of an emergency.

The facility failed to develop and implement emergency preparedness policies and procedures to address the need for volunteers or increased staffing needs in an emergency.

The facility failed to develop a comprehensive written emergency communication plan that included contact information for patients, patient physicians, and federal, state, regional and local emergency agencies.

The facility failed to ensure their emergency preparedness communication plan included all required and updated information including names and contact information for the following: entities providing services under arrangement, patients' physicians, and volunteers.

The facility failed to ensure their emergency preparedness communication plan included all required contact information for the local, state, and federal emergency preparedness staff.

The facility failed to ensure their emergency preparedness communication plan included a process for communicating patient information and medical documentation for patients under the agency's care, as necessary, with other health providers to maintain the continuity of care.

The facility failed to ensure their Emergency Preparedness Plan included a means of communicating information about the agency’s ability to aid the authority having jurisdiction over the emergency.

The facility failed to develop and maintain a written emergency preparedness training and testing program based on the agency’s emergency plan, risk assessment, policies, and procedures.

The facility failed to conduct a full-scale exercise, or a facility-based exercise to test their emergency preparedness program yearly or to document activation on their emergency preparedness plan or incident command system in response to an actual emergency event the agency experienced during the…

The agency failed to ensure scheduled visits that were ordered by the physician were provided as indicated in the plan of care (POC) for 3 of 8 patients (P4, P2, P6) who currently receive home care services.

The agency failed to electronically report Outcome and Assessment Information Set (OASIS) data for 5 of 5 patients (P1, P2, P3, P4, P5) currently receiving services from the agency that should have been submitted between 1/1/17 and 5/10/19, whose home health services were funded through Medicare or…

Failed to address development of a quality assessment and quality improvement program.

The home health agency failed to transmit the Outcome and Assessment Information Set (OASIS) data for medical assistance (MA) and medicare for 5 of 5 qualified patients (P1, P2, P3, P4 and P5) reviewed for OASIS.

The home health agency (HHA) failed to collect and utilize quality indicator data from OASIS, as a basis for the development of the quality assurance and performance improvement program, which had the potential to impact 5 current patients (P1, P2, P3, P4, P5) and three employees.

The home health agency (HHA) failed to safeguard patients' medical records against loss or unauthorized use for 5 of 5 patients (P1, P2, P3, P4 and P5) when the HHA shared office space with a transportation/child care company and did not have measures in place to secure patient records.

The home health agency failed to provide all patients the combined State and Federal Bill of Rights prior to starting care for 5 of 5 patients (P1, P2, P3, P4, P5) who received services from the agency.

The home health agency (HHA) failed to provide 5 of 5 patients (P1, P2, P3, P4, P5) the correct toll-free number for the State of Minnesota's HHA hotline.

The home health agency (HHA) failed to document discharge information for 1 of 2 discharged patients (P12) whose records were reviewed.