Accurate Home Care

The agency failed to ensure visits were conducted as required in the plan of care and document the potential clinical impact of the missed service for 3 of 7 patients (P4, P10, P5) active records reviewed.

The agency failed to complete a comprehensive reconciliation of all medications at start of care (SOC) for 1 of 4 patients (P8) reviewed for medication reconciliation.

The agency failed to ensure an up to date medication list was in the home for 1 of 4 patients (P5) reviewed during home visits.

The agency failed to document in writing the verbal orders received by the physician for 1 of 3 patients (P1) reviewed for nursing services.

The agency failed to ensure policies and procedures for staff vaccination against COVID-19 included a contingency plan for staff who were not up to date with their vaccinations against COVID-19. This had the potential to affect all patients served by the agency.

The agency failed to ensure skilled nursing services were provided effectively and timely when the patient became unresponsive, for 1 of 1 patient (P1) reviewed.

The agency failed to ensure the physician was notified of a change in condition, failed to ensure cardiopulmonary resuscitation (CPR) was initiated correctly and timely, and failed to ensure emergency equipment was available and ready for use when the patient became unresponsive for 1 of 1 patient…

The agency failed to ensure the patient's care delivery was coordinated with the caregivers when the patient had a change in condition, for 1 of 3 patients (P1) reviewed.

The agency failed to ensure emergency preparedness policies and procedures addressed the use of volunteers in an emergency, or other emergency staffing strategies, including the process and role for integration of State and Federally designated health care professionals, to address surge needs…

The agency failed to transmit Outcome and Assessment Information Set (OASIS) data for 1 of 5 current patients (P2) reviewed, who received skilled nursing services and received services under the Medicaid payor source.

The agency failed to ensure 3 of 3 patients (P1, P4, P3) were free from actual or the potential for, misappropriation of property.

The agency failed to ensure each patient had an initial assessment visit within 48 hours of the referral date for 2 of 7 patients (P3, P6) reviewed, in the sample.

The agency failed to ensure the plan of care (POC) included a description of the risk for emergency department visits and hospital re-admission for 5 of 5 patients (P1, P2, P3, P4, P5), whose records were reviewed.

The agency failed to perform home health aide visits, only as ordered by a physician, for 1 of 2 discharged patients (P6), reviewed for home care services.

The agency failed to report an allegation of financial exploitation related to theft of money and property immediately for 1 of 2 patient (P2) reviewed for abuse reporting.