Accentcare Fairview Home Health - East LLC

The agency failed to protect and promote patient rights as outlined in the Combined Federal and State Home Care Bill of Rights.

The agency failed to discharge 2 of 5 patients for appropriate cause and failed to develop and implement an effective discharge planning process to effectively transition patients from home health services to post home health services care for 2 of 5 patients (P1, P2) reviewed for discharge.

The agency failed to complete and send all necessary medical information pertaining to the patient's health care to involved practitioners to ensure the safe and effective transition of care for 1 of 5 patients (P2) reviewed for discharge.

The agency failed to provide services as ordered in the Plan of Care (POC) and failed to inform the physician of services that were not provided . In addition, the agency failed to document the clinical impact and educate the client of the clinical impact of the missed visit. for 4 of 17 patients…

The agency failed to ensure 1 of 17 patients (P1) was informed and consented to services or care being provided, including any ongoing changes in services.

The agency failed to give written notice in advance of the agency terminating on-going services for 2 of 5 patients (P1, P2) who were reviewed for discharges.

The agency failed to notify the patient, her representative and other physicians involved with the patient's care the agency was considering a discharge for 1 of 5 patients (P1) who was discharged from the agency.

The agency failed to ensure patient's physician agreed discharge was appropriate with goals met and patient no longer required home health care services for 1 of 5 patients (P2) reviewed for discharge from agency.

The agency failed to provide 2 of 5 patients (P1, P2) reviewed for discharge, with information required related to other available home care providers at the time of a facility-initiated discharge.

The agency failed to ensure all medications, including dose, route, frequency and time of administration, was comprehensively assessed and documented for 3 of 7 patients (P7, P9, P12) whose medications were reviewed during home visits.

The agency failed to provide home health aide services as ordered on referral or notify physician when HHA was not needed for 1 of 17 patients (P12) reviewed for referrals.

The agency failed to provide services as ordered in the plan of care (POC) and failed to inform the physician of services that were not provided for 5 of 17 patients (P1, P4, P13, P15, P17) reviewed for receiving services as indicated per the POC.

The agency failed to ensure visits were conducted in accordance with physician orders for 1 of 17 patients ( P9) and failed to notify the physician the services were not provided.

The agency failed to ensure field staff wore proper personal protective equipment (PPE), based on the current guidance from the Center for Disease Control (CDC), while providing home care service to 3 of 7 patients (P6, P9, P10) observed during a home visit.

The agency failed to ensure each patient had an intial assessment visit within 48 hours of the referral date for 5 of 17 patients (P3, P5, P10, P14, P17) reviewed in the sample.

The agency failed to complete a comprehensive drug review to ensure the accuracy of all medications/dosages for 4 of 17 patients (P9, P3, P7 and P10) whose medications were reviewed during home visits and record review.

The agency failed to perform skilled nursing visits (SNV) only as ordered by a physician for 1 of 17 patients (P11) and failed to obtain physician orders for physical therapy visits for 1 of 17 patients (P16) reviewed for home care services.

The agency failed to ensure communication with all physicians and health care professionals involved in the plan of care for 1 of 17 patients (P5), when all providers involved were not notified of treatment or frequency changes.