Adaptive Nursing and Healthcare Services, LLC

The home health agency failed to evidence detailed and specific Home Health Aide (HHA) care plans for 4 of 6 active records reviewed (Patients #1, 3, 4, 5).

The Registered Nurse (RN)[CL1] failed to conduct a comprehensive assessment of a patient’s lung sounds for 1 of 1 home visit observations of a skilled nursing visit (Patient #3) and failed to conduct a comprehensive assessment of a patient’s wounds for 1 of 1 active records reviewed of patients…

The HHA failed to adhere to the home health agency's policy for hand washing with soap and water and ABHS.

The home health agency failed to ensure all staff was educated on CDC recommendations in relation to the COVID-19 pandemic and enacted infection control policies that adhered to recognized national standards and recommendations by the CDC.

The home health agency failed to ensure the home health aide (HHA) competency evaluation program included direct observation of a HHA obtaining a patient or pseudo-patient's temperature, heart rate, and respirations.

The home health agency failed to ensure home health aide (HHA) employee files contained documentation of completion of a competency evaluation program for 1 of 5 employee files reviewed (Employee E).

The home health agency administrator failed to ensure the agency employed and appropriately trained home health aide (HHA) personnel prior to provision of care for 1 of 3 patients (#2).

The home health agency (HHA) failed to develop and maintain an agency-wide program for the surveillance, identification, control, prevention, and investigation of infectious and communicable diseases, specifically COVID-19, among its employee and patients, which had the potential to effect of 1…

The home health agency (HHA) failed to provide infection control education, specifically related to COVID-19, to agency staff for 3 of 5 employee records reviewed (H, N, J).

The home health agency failed to ensure home health aides reported changes in a patient's condition to a registered nurse (RN) for 1 of 1 records reviewed, that required notification to the RN, in a sample of 7 (#2).