Accelerated Homecare Services, Inc

The agency failed to provide evidence of its efforts to measure, track and analyze it's quality indicators and show measurable improvement in patient care and services (See G 642); failed to develop Performance Improvement activities, as part of the agency's Quality Assessment Performance…

The home health agency failed to develop an infection control program that focused on infection prevention and control, including communicable diseases for the last 3 years (See G682); failed to ensure the infection control program was active and provided surveillance, identification, prevention…

The agency failed to ensure the physical therapist (PT) followed accepted standards of practice in assuming responsibility for care in 1 (P-7) of 4 patients reviewed who received PT services, from a total of 7 records reviewed (see G704); failed to ensure services were provided as ordered by the…

The agency failed to ensure the clinical record contained goals in the patient plans of care in 7 (P-1, P-2, P-3, P-4, P-5, P-6, and P-7) of 7 records reviewed (see G116); failed to ensure a completed discharge summary was sent to the health care professional responsible for care of the patient…

The agency failed to ensure the Emergency Preparedness (EP) plan was reviewed and updated at least every 2 (2023 and 2024) of 2 years, resulting in the potential for an unprepared staff response in the event of an emergency.

The agency failed to ensure the hazard vulnerability assessment (HVA) was reviewed and updated at least every 2 (2023 and 2024) of 2 years, resulting in the potential for an unprepared staff response in the event of an emergency.

The agency failed to ensure the Emergency Preparedness (EP) communication plan included updated staff names and contact information for 8 of 14 staff, resulting in the potential for an unprepared staff response in the event of an emergency.

The agency failed to ensure initial Emergency Preparedness (EP) training was provided for 1 (Adm) of 8 employees reviewed, resulting in the potential for an unprepared staff response in the event of an emergency.

The agency failed to ensure Emergency Preparedness (EP) testing included the required criteria in 3 (2023, 2024, and 2025) of 3 years reviewed, resulting in the potential for an unprepared staff response on the event of an emergency.

The agency failed to develop, implement, and maintain a Quality Assessment and Performance Improvement (QAPI) program which provided documentation of its efforts to measure, track and analyze quality indicators that represented pre-established performance improvement projects (PIP's) designed to…

The agency failed to develop performance improvement activities, as part of the agency's Quality Assessment Performance Improvement (QAPI) program, to track and trend adverse patient events, analyze the cause and implement preventive interventions, resulting in the potential for the rendering of…

The agency failed to develop a Performance Improvement Project (PIP) within its Quality Assessment Performance Improvement (QAPI) program, resulting in the agency's inability to effectively monitor proposed improvements in patient care, health outcomes, patient safety, quality of care and overall…

The Governing Body failed to ensure the agency had an active and functioning Quality Assessment and Performance Improvement (QAPI) program that addressed priorities for improved quality of care, maintained patient safety standards, and was evaluated for its effectiveness, resulting in the potential…

The agency failed to develop an infection control program which monitored staff's performance to ensure infection control policies and accepted standard practices to prevent the transmission of infections and communicable diseases were followed in the last 3 years, resulting in a lack of oversight…

The agency failed to maintain a coordinated agency-wide program for the surveillance, identification, prevention, control, and investigation of infections and communicable diseases as a part of the agency's Quality Assessment Performance Improvement (QAPI program), resulting in the potential spread…

The agency failed to ensure infection control training was provided to 7 (Alt-Adm, RN-1, RN-2, RN-3, LPN, RPT-1, and RPT-2) of 7 sampled clinical staff, resulting in the potential for a lack of staff education in infection control practices.

The agency failed to ensure the physical therapist (PT) followed accepted standards of practice in assuming responsibility for the care of 1 (P-7) of 4 patients who received PT services, from a total of 7 sampled records reviewed, resulting in abrupt cessation of PT services and the potential for…

The agency failed to ensure all clinical record entries were appropriately authenticated, dated, and timed in 7 (P-1, P-2, P-3, P-4, P-5, P-6, and P-7) of 7 records reviewed, resulting in an incomplete clinical record.

The agency failed to ensure patients were informed of the disciplines that would furnish care and the frequency of visits in 4 (P-1, P-2, P-4, P-7) of 7 total sample records reviewed, resulting in the potential for unmet care needs.

The home health agency failed to provide an ordered skilled service on the plan of care for 3 (P-3, P-4, and P-7) of 4 records reviewed with physical therapy services, from a total of 7 sampled records reviewed, resulting in the potential for unmet clinical needs.

The agency failed to ensure the initial assessment was performed within 48 hours of referral to determine immediate care needs and Medicare eligibility in 4 (P-1, P-2, P-3, P-5) of 7 total sampled records reviewed, resulting in the potential for unmet care needs and poor patient outcomes.

The agency failed to ensure the comprehensive assessment accurately reflected the patient’s current health status at the time of admission for 2 (P-1, P-2) of 7 records reviewed, resulting in incomplete clinical information to aide in determining the needs of these patients to assist developing the…

The agency failed to ensure the medical record identified and reconciled patient medication interactions in 4 (P-1, P-2, P-3, P-7) of 7 total sampled records reviewed, resulting in the potential for adverse effects and poor patient outcomes.

The agency failed to ensure services were provided only as ordered by the physician in 1 (P-7) of 4 records reviewed with physical therapy services provided, out of a total sample of 7 records reviewed, resulting in the potential to negatively affect all 43 patients currently serviced by the agency.

The agency failed to ensure services were provided as ordered by the physician in the plan of care for 3 (P-1, P-3, P-7) of 7 total sampled records reviewed, resulting in the potential for poor patient outcomes.

The agency failed to ensure skilled professionals prepared clinical notes per agency policy in 4 (P-1, P-2, P-3, and P-4) of 7 records reviewed, resulting in the potential for poor coordination of care and poor patient outcomes.

The agency failed to ensure the administrator was appointed by the governing body in 2 (2023 and 2024) of 2 years reviewed, resulting in the potential for a lack of direction and oversight for the agency.

The agency failed to ensure a qualified, pre-designated person was identified and approved by the governing body as the alternate administrator to be responsible in fulfilling the roll of the administrator in his absence in 2 (2023 and 2024) of 2 years reviewed, resulting in the potential for lack…

The agency failed to ensure the clinical manager provided oversight in coordinating patient care for 19 of 43 active patients, resulting in the potential for missed visits and poor patient outcomes.

The agency failed to ensure the clinical record contained goals in the patient plans of care in 7 (P-1, P-2, P-3, P-4, P-5, P-6, and P-7) of 7 records reviewed, resulting in the potential for unmet care needs and poor patient outcomes.

The agency failed to ensure a completed discharge summary was sent to the health care professional responsible for care of the patient after discharge within 5 business days of the patient’s discharge in 1 (P-3) of 1 discharged record reviewed; and failed to send out a transfer summary within 2…

The agency failed to ensure the initial assessment visit was conducted within 48 hours of referral to determine the immediate care needs of the patient for 2 of 7 (MR# 4, 6) records reviewed (refer to G-514); failed to ensure the comprehensive assessment was completed within 5 calendar days of…

The agency failed to maintain compliance with this condition of participation.

The agency failed to maintain compliance with this condition of participation.

The agency failed to ensure all staff including contracted staff received initial training and training at least every two years in the agency's Emergency Preparedness Plan for 7 of 9 (Staff E, F, G, H, I, J, and K) personnel files reviewed, resulting in the agency's inability to ensure staff…

The agency failed to ensure all staff including contracted staff participated in exercises or actual events to test the agency's emergency preparedness plan at least annually for 8 of 9 (Staff D, E, F, G, H, I, J, and K) personnel files reviewed, resulting in the agency's inability to ensure staff…

The agency failed to collect and utilize quality indicator data and other relevant agency data in the design of its quality assessment and performance improvement program, resulting in the potential for poor quality outcomes for the 108 patients admitted to the agency in the past 12 months.

The agency failed to ensure to conduct performance improvement projects from 2021 through 2022, resulting in no coordinated efforts to improve patient outcomes for the 108 patients admitted to the agency in the past 12 months.

The agency failed to ensure to document and track the COVID-19 vaccination completion, exemption, or temporary delay status for 7 of 9 staff (Staff D, F, G, H, I , J, and K) that provide patient care, treatment, or other services for the agency.

The agency failed to ensure 1 of 2 contracts (Contractor# 1) met the requirements of section 1861(w) of the Act (42 U.S.C. 1395x(w)), resulting in the potential to adversely affect the finances of all patients that received contracted services.

The agency failed to ensure the initial assessment visit was conducted within 48 hours of referral for 2 of 7 (MR# 4, 6) records reviewed, resulting in a delay in determining the immediate care and support needs for these patients.

The agency failed to ensure the comprehensive assessment was completed within 5 calendar days of providing hands on care for 1 of 7 (MR#7) records reviewed, resulting in a lack of information to direct and support the care needs for this recent post-operative patient.

The agency failed to ensure that the comprehensive assessment included a review of all medications for possible significant drug interactions in 2 of 7 (MR # 3 and 6) records reviewed resulting in the potential for unrecognized adverse medication interactions for these two patients.

The agency failed to ensure the comprehensive assessment was updated at the time of discharge from the agency for 1 of 7 (MR#6) records reviewed, resulting in a lack of information regarding the patient's health status and progress towards goals.

The agency failed to ensure the plan of care was complete and included objectively measurable goals specific to the needs of the patient in 7 of 7 (MR #1, 2, 3, 4, 5, 6, 7) records reviewed, resulting in patients not receiving care specific to their individual needs and the potential for poor…

The agency failed to ensure treatments were provided only as ordered by the physician in 1 of 6 (MR # 3) records reviewed in which wound care was provided, resulting in the potential to negatively affect the health and well-being of this patient.

The agency failed to ensure the physician was notified of significant changes in the patient's condition for 1 of 1 (MR# 7) record review for a patient with elevated blood pressure readings, resulting in the potential for poor patient outcomes for this patient.

The Agency failed to ensure that skilled nursing services were provided as ordered by the physician in the plan of care in 2 of 7 (MR # 3, 7) records reviewed in which nursing services were ordered, resulting in the potential for poor patient outcomes for these patients.

The agency failed to ensure physical therapists prepared clinical notes for 1 of 2 (MR# 6) records reviewed in which physical therapy services were provided, resulting in a lack of information regarding the health status of this patient.

The agency failed to ensure the physical therapist communicated with the physician regarding the patient's need for continued therapy services for 1 of 2 (MR#6) records reviewed with physical therapy services, resulting in a lack of physician involvement regarding therapy services for this patient.

The agency failed to ensure a contract for services indicated the agency maintains overall responsibility for the services provided under arrangement for 1 of 2 (Contractor #1) contracts reviewed, resulting in a lack of overall responsibility by the agency for the services provided under…

The agency failed to ensure the clinical record contained a complete plan of care, a complete comprehensive assessment, updated comprehensive assessments, and physician orders for 2 of 7 (MR# 6 and 7) records reviewed, resulting in a lack of information for the physician and all agency staff caring…

The agency failed to ensure the clinical record contained documentation regarding lab work that was ordered for 1 of 5 (MR#7) records reviewed in which lab work was ordered, resulting in a lack of information for the physician regarding the health status of this post-operative patient.

The agency failed to ensure the clinical record contained goals related to the patient's diagnoses for 1 of 7 (MR# 7) records reviewed, resulting in a lack of guidance in determining this patient's progress towards goals and discharge.

The agency failed to ensure a detailed discharge summary was sent to the physician within 5 business days of discharge for 1 of 2 (MR# 4) discharge records reviewed, resulting in a lack of information to ensure continuity of care for the 95 patients discharged from the agency in the past 12 months.