Aca Home Health LLC

The Home Health Agency failed to develop an individualized Plan of Care (POC) that contains the home health services to be provided; that identifies patient-specific measurable outcomes and goals; and which is established; periodically reviewed and signed by a physician for 2 out of 3 Sampled…

The Home Health failed to conform with the physicians' orders for 3 out of 3 Sampled Patients (SP).

The Home Health Agency failed to ensure that a Registered Nurse (RN) or other appropriate skilled professional provided written care instructions for the Home Health Aides (HHA) to follow for 1 out 3 Sampled Patients (SP) reviewed.

The Home Health Agency failed to ensure that Skilled Nursing (SN) notes were completed in their entirety for 1 out of 3 Sampled Patients (SP).

The Home Health Agency failed to ensure that all entries in the clinical record were legible and clear for 1 out of 3 Sample Patients (SP).

The Home Health Agency failed to provide the patient and the patient's legal representative (if any), the following information during the initial evaluation visit, in advance of furnishing care to 1 out of 3 Sampled Patients (SP).

The Home Health Agency failed to demonstrate that it obtained the patient's or legal representative's signature confirming that she has received a copy of the notice of rights and responsibilities for 1 out of 3 Sampled Patients (SP).

The Home Health Agency failed to coordinate care delivery to meet the patient's needs for 1 out 3 Sampled Patients (SP).

The Home Health Agency's staff failed prepare and record clinical notes for 2 out of 3 Sampled Patients (SP).

The Home Health Agency failed to ensure the clinical record contained all admission documents and consent forms for 1 out of 3 Sampled Patients (SP).

The provider failed to ensure the clinical record contained pertinent past and current findings in accordance with accepted professional standards is maintained for every patient receiving home health services for 1 out of 3 Sampled Patient (SP).

The provider failed to ensure the staff comply with accepted professional standards and principles that apply to professionals furnishing services in an Home Health Agency in 1 out of 3 Sampled Patients (SP).

Failed to update the comprehensive assessment which would include a summary of the patient's progress in meeting the care plan goals on 1 out of 3 sample patients (SP).

The provider failed to include in the individualized plan of care the following components: description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors; and information related to any advanced…

The provider failed to document all patient care orders in the Plan of Care for 2 out of 3 Sampled Patients (SP).

The provider failed to consult the physician the patient's condition or needs that suggest the plan of care should be altered for 1 out 3 Sampled Patients (SP).

The home health agency staff failed to prepare and record clinical notes for 1 out of 3 Sampled Patients (SP).

The clinical manager failed to coordinate patient care for 1 out 3 Sampled Patients (SP).

The provider failed to have the clinical manager assure the development, implementation, and updates of the individualized plan of care for 1 out of 3 Sampled Patient (SP).

The provider failed to include in the clinical record all of the assessments from the most recent home health admission and clinical notes on 2 out of 3 Sample Patients (SP).

The Home Health Agency failed to complete a discharge summary that is sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the HHA (if any) within 5 business days of the patient's…