Adaptive Nursing and Healthcare Services LLC

The agency failed to provide services as written in the plan of care for 4 of 17 records reviewed.

The agency failed to ensure hand hygiene was performed and failed to ensure accepted standards of practice were used when completing a bed bath.

The agency failed to ensure care was provided prior to documenting in the clinical record for 1 of 7 home health aide visits.

The agency failed to ensure the agency provided services in accordance with current clinical practice guidelines and accepted professional standards of practice.

The agency failed to ensure the patient privacy rights were maintained and a system was in place to prevent further incidences (See G0426), failed to ensure all patients remained free from abuse (See G0430), failed to ensure all patient's received services outlined in plan of care (See G0436)…

The agency failed to protect and promote the patient's privacy rights, failed to analyze the root cause of patient rights violations, and failed to implement a system to track and prevent recurrences in 2 of 5 closed patient records reviewed.

The agency failed to ensure staff were following acceptable standards of practice by actively taking their temperatures and documenting absence of illness or signs/symptoms of Covid-19 for 7 of 7 field staff interviews and for 1 of 1 home visit interviews.

The agency failed to ensure patient records were appropriately authenticated for 1 of 6 closed patient record reviews (patient 4) and failed to ensure home health aide applications were properly authenticated in 4 of 4 employees reviewed for Branch 2. (employee A, X, Y, and Z) Findings include: 1.…

The facility failed to ensure patients were free from verbal abuse, misappropriation of property, and a system in place to prevent future occurrences from other caregivers in 1 of 5 closed records reviewed.

The agency failed to ensure all services identified in the plan of care were provided for 4 of 10 patients receiving attendant care and home health aide services.

The agency failed to ensure all patients were free from reprisal for voicing grievances to the HHA in 1 of 3 discharge records reviewed.

The agency failed to discharge patients in a timely manner when unable to meet the patient's needs in 1 of 5 closed records reviewed.

The agency failed to document behaviors, interventions, and circumstances prior to discharging a patient for cause in 1 of 5 closed records reviewed.

The agency failed to make efforts to resolve any problems prior to discharging a patient in 1 of 5 closed records reviewed.

The agency failed to ensure the existence of patient/patient representative expressions of dissatisfaction were documented as complaints, as required by agency policy, for 1 of 1 (Patient 4) patients/patient representatives whose clinical record was reviewed, of a sample of 2 complaints reviewed…

The agency failed to ensure 4 of 4 home health aides reviewed from Branch 2 of the agency met the training or competency evaluation requirements to qualify as a home health aide during a period prior to the CoPs amendment on 09/30/2019. (Employee A, X, Y, and Z).

The home health agency failed to follow infection control guidelines in 2 of 3 home visits (Patient #2, #3) observed in a total sample of 3 home visits.

The agency failed to ensure coordination of care activities occurred and were documented for 3 (Patients #1, #2, & #3) of a total of three records reviewed.

The agency failed to provide evidence of the Governing Body's approval for the Administrator & Alternate Administrator positions for 1 of 1 agency.

The home health agency failed to ensure home health aide visits were completed as ordered and that care was delivered in accordace with the plan of care for of 5 of (#4,5,7,8,9) 11 records reviewed.

The agency failed to ensure clinicians followed recognized infection control procedures and policies updated to include when to change gloves while providing care in 1 of 3 home visits (patient #8).

The agency failed to arrange a safe and appropriate transfer to another care entity after having determined the needs of the patient exceeded the agency's capabilities for 2 (#9 and 11) of 2 patients with household bed bug infestation.

The agency failed to ensure the registered nurse completed an initial assessment of the patient within 48 hours of referral for 3 of 11 records reviewed.

The agency failed to perform a review of all medications the patient was using for 1 ( #2) of 11 records reviewed.

The home health aide failed to notify the registered nurse in regards to a patients skin impairments in 1 out of 11 records reviewed (patient # 6).