Ability Home Health LLC

The agency failed to develop a facility and community-based risk assessment utilizing an all-hazards approach (E0006), include a process for cooperation and collaboration with local, state and federal emergency preparedness officials to include documented attempts to contact officials in an effort…

The agency failed to evidence an individualized Plan of Care with consultation of the attending physician to approve additions or modifications to the plan of care (G572), included all medications and treatments (G574), evidenced medications and treatments only as ordered by the physician (G580) or…

The agency failed to evidence a Quality Assessment and Performance Improvement (QAPI) program capable of showing measurable improvement in indicators for which there is evidence that improvement in those indicators will improve health outcomes, patient safety, and quality of care (G642), data…

The home health agency failed to conduct a thorough and complete skin assessment as part of a comprehensive assessment and failed to coordinate care with 1 of 1 patient with an active wound (Patient #2) and the skilled professional failed to implement a thorough and complete ongoing assessment (See…

The agency failed to exercise patient rights by obtaining advance directive legal documents signed by appropriate legal authority in 1 of 5 active records reviewed (Patient #3).

The home health agency failed to evidence a discharge summary was sent to the discharging patient’s primary care practitioner (PCP) for 1 of 2 closed records reviewed (Patient #7).

The home health agency failed to provide all services as indicated on the plan of care for 1 for 2 home visits with a skilled nurse (Patient #3) and failed to evidence one plan of care which incorporated all services provided for 2 of 3 active records reviewed of patients receiving therapy services…

The home health agency failed to ensure all staff followed its policies and procedures regarding infection prevention, specific to healthcare bag technique, on 1 of 2 skilled nurse (SN) patient care visits (Patient #3). 410 IAC 17-12-1(m) Findings include: The review of policy entitled “Healthcare…

The home health agency failed to document measures it took to investigate a patient’s noncompliance with physical therapy (PT) visits, interventions the agency attempted in order to obtain patient participation with the PT visits, and communication with the patient’s physician prior to discharge…

The home health agency failed to ensure the nursing portion of the comprehensive assessment was completed within 5 days of the start of care (SOC) for 1 of 2 patients with multiple active clinical records (Patients #5).

The agency failed to evidence the comprehensive assessment accurately reflect the patient's current health status for 1 of 1 patient’s receiving skilled nursing, physical therapy, occupational therapy, and home health aide services (Patient #2).

The home health agency failed to ensure the patient’s medications were reconciled by agency staff during the initial and recertification comprehensive assessment for 2 of 2 active patients who had multiple open records (Patients #2 and 5).

The home health agency failed to implement an individualized plan of care which included all medical devices, patient-specific interventions, and measurable goals, for 3 of 5 active records reviewed (Patients #1 and 3).

The agency failed to administer services and treatments administered as ordered by a physician for 2 of 5 active records reviewed (Patients #1 and 3).

The agency failed to coordinate care with other entities providing care for 1 of 1 home visit observation with an occupational therapist (OT) (Patient #4).

The skilled professional failed to implement a thorough and complete ongoing assessment of the patient for 2 of 5 active records reviewed (Patients #1, 3).

The home health aide (HHA) failed to provide services only included in the plan of care, permitted to be performed under state law, and consistent with the home health aide training, for 1 of 1 active records reviewed of patients receiving home health aide services with a gastrostomy-jejunostomy…

The agency failed to report changes in the patient’s condition to a registered nurse or other appropriate skilled professional for 1 of 1 Patient’s observed during a home visit with wounds (Patient #2).

The agency failed to ensure they had a pre-designated qualified individual, who is authorized in writing to assume the role of the administrator, if and when the administrator is unavailable for 1 of 1 agency.

The agency failed to maintain one current clinical record with all documentation, visit notes, and assessments in 2 of 2 active records reviewed (Patients #2 and 5) who were receiving Medicaid and Medicare services concurrently.