Adaptive Nursing and Healthcare Services, LLC

The home health agency failed to ensure the comprehensive assessment contained a complete and thorough health and psychosocial status (see Tag G528), failed to ensure the comprehensive assessment included the patient's strengths, progress towards goals, and care preferences (see Tag G530); failed…

The home health agency failed to ensure patients were admitted only when the agency could meet the patient's medical and nursing needs for 2 of 5 active records reviewed (#1, 2); failed to ensure the plan of care (POC) included all required elements (see Tag G574); failed to ensure the Registered…

The home health agency failed to ensure it maintained an agency wide quality assurance and performance improvement (QAPI) program; failed to ensure the QAPI program documented which quality indicators were to be included in the program, failed to evidence the frequency and method in which quality…

The Registered Nurse (RN) failed to assess the patient's skin and wound condition and failed to conduct a complete and thorough comprehensive assessment per professional and agency standards (see Tag G706).

The Registered Nurse (RN) failed to assign Home Health Aides (HHA) to patients based on the patient's needs and failed to develop an aide care plan that was specific to the patient's needs (see Tag G750); and failed to complete only tasks that are included on the aide care plan and within the scope…

The home health agency failed to ensure the administrator reported to the governing body (see Tag G946), failed to ensure the administrator was responsible for the day-to-day operations of all branches of the agency (see Tag G948), failed to ensure the Director of Nursing (DON) assigned Home Health…

The home health agency failed to evidence its quality assurance and performance improvement (QAPI) program documented which quality indicators it would track, failed to evidence the frequency and method in which quality indicators were to be measured, analyzed, and tracked, and failed to evidence…

The home health agency failed to ensure its quality assurance and performance improvement (QAPI) program measured and analyzed its performance improvement projects (PIP) for success and sustained improvements.

The home health agency's Governing Body failed to ensure the agency's Quality Assurance and Performance Improvement (QAPI) had defined quality indicators, including frequency and method of collecting and tracking indicators, and failed to ensure all Performance Improvement Projects (PIPs) are…

The home health agency failed to ensure all employees followed agency infection control policies and procedures and standard precautions for 3 of 3 home visit observations (#1, 2, 6).

The home health agency failed to ensure an agency-wide infection control program was maintained for the surveillance, identification, prevention, control, and investigation of patient and staff infections for 3 of 3 clinical records of active patients directly exposed to an employee with COVID-19…

The Registered Nurse (RN) failed to assign Home Health Aides (HHA) to patients based on the patient's needs and failed to develop an aide care plan that was specific to the patient's needs for 4 of 4 active records reviewed of patients with HHA services (#1, 2, 3, 6), in a total sample of 8 records.

The home health agency failed to ensure all patient complaints were thoroughly investigated and documented, and the complainant was notified of the complaint resolution, for 7 complaints reviewed which involved 4 of 5 active patients (#1, 2, 3, 6), in a total sample of 8 records.

The home health agency failed to ensure the comprehensive assessment contained a complete and thorough health and psychosocial status for 5 of 5 active records reviewed (#1, 2, 3, 6, 7), in a total sample of 8 records.

The home health agency failed to ensure the comprehensive assessment included the patient's strengths, progress towards goals, and care preferences for 5 of 5 active records reviewed (#1, 2, 3, 6, 7), in a total sample of 8 records.

The home health agency failed to ensure the comprehensive assessment included the patient's medical, nursing, and discharge needs for 5 of 5 active records (#1, 2, 3, 6, 7) in a total sample of 8 records.

The home health agency failed to ensure the comprehensive assessment included the primary caregiver's willingness and ability to provide care, availability, and schedules for 4 of 4 active records of patients with primary caregivers reviewed (#2, 3, 6, 7), in a total sample of 8 records.

The home health agency failed to ensure the comprehensive assessment was updated and revised at discharge to reflect the patient's progress towards their goals for 2 of 2 discharge clinical records (#4, 5), in a total of 8 records reviewed.

The home health agency failed to ensure the plan of care (POC) included all pertinent diagnoses, the patient's mental and psychosocial status, the supplies required, the patient's nutritional requirements, a complete list of the patient's medications, safety measures to prevent against injury…

The home health agency failed to ensure the Registered Nurse (RN) administered treatments according to the physician's order for 1 of 1 active records reviewed with a noted change to the patient's orders (#7) in a total sample of 8 records.

The home health agency failed ensure the patient's medical provider was notified for a change in the patient's condition for 1 of 1 active records with a noted change in patient condition (#7), in a total sample of 8 records.

The home health agency failed to ensure the revised plan of care (POC) contained the patient's progress towards their goals for 2 of 4 active records reviewed with revised plans of care (#1, 2), in a total sample of 8 records.

The home health agency failed to ensure the patient's home binder contained a current plan of care (POC) for 1 of 3 home visit observations, and failed to ensure the patient's home binder contained the manufacturer's instructions for specialty equipment for 3 of 3 home visit observations with…

The home health agency failed to ensure the Director of Nursing's (DON) name was accurate in the patient's home binder for 2 of 3 home visit observations (#1, 2).

The Registered Nurse (RN) failed to conduct and document a complete and thorough assessment per professional and agency standards for 1 of 1 skilled nurse visit observations (#2) and failed to assess the patient's skin and wound condition for 1 of 2 active patient records (#1) with the presence of…

The home health aide (HHA) failed to complete only tasks that are included on the aide care plan and within the scope of their practice for 1 of 4 active records reviewed of patients with HHA services, in a total sample of 8 records (#1).

The home health agency failed to ensure the administrator reported to the governing body.

The home health agency failed to ensure the administrator was responsible for the day-to-day operations of all branches of the agency.

The home health agency failed to ensure the Director of Nursing (DON) assigned Home Health Aides (HHA) to patients based on the patient's needs, which had the potential to affect all agency patients.

The home health agency failed to ensure the parent branch provided direct support and administrative control of its branches, which had the potential to impact all patients.

The home health agency failed to ensure written agreements were in place which delineated the services each agency was to provide for 5 of 5 active shared patient records (#1, 2, 3, 6, 7), in a total sample of 8 records reviewed.

The home health agency failed to ensure a shared patient agreement which indicated the primary agency was created for 5 of 5 active shared patient records (#1, 2, 3, 6, 7), in a total sample of 8 records reviewed.

The home health agency failed to ensure the comprehensive assessment contained a complete and thorough health and psychosocial status (see Tag G528), failed to ensure the comprehensive assessment included the patient's strengths, progress towards goals, and care preferences (see Tag G530); failed…

The home health agency failed to ensure patients were admitted only when the agency could meet the patient's medical and nursing needs for 2 of 5 active records reviewed (#1, 2).

The home health agency failed to evidence its QAPI program was agency wide.

The Registered Nurse (RN) failed to assess the patient's skin and wound condition for 1 of 2 active patient records with the presence of a wound, in a total sample of 8 records.

The Registered Nurse (RN) failed to assign Home Health Aides (HHA) to patients based on the patient's needs and failed to develop an aide care plan that was specific to the patient's needs (see Tag G750).

The home health agency failed to ensure the administrator reported to the governing body (see Tag G946), failed to ensure the administrator was responsible for the day-to-day operations of all branches of the agency (see Tag G948), failed to ensure the Director of Nursing (DON) assigned Home Health…

The home health agency failed to evidence its quality assurance and performance improvement (QAPI) program documented which quality indicators it would track, failed to evidence the frequency and method in which quality indicators were to be measured, analyzed, and tracked, and failed to evidence…

The home health agency failed to ensure its quality assurance and performance improvement (QAPI) program measured and analyzed its performance improvement projects (PIP) for success and sustained improvements.

The home health agency's Governing Body failed to ensure the agency's Quality Assurance and Performance Improvement (QAPI) had defined quality indicators, including frequency and method of collecting and tracking indicators, and failed to ensure all Performance Improvement Projects (PIPs) are…

The home health agency failed to ensure all employees followed agency infection control policies and procedures and standard precautions for 3 of 3 home visit observations (#1, 2, 6).

The home health agency failed to ensure an agency-wide infection control program was maintained for the surveillance, identification, prevention, control, and investigation of patient and staff infections for 3 of 3 clinical records of active patients directly exposed to an employee with COVID-19…

The Registered Nurse (RN) failed to assign Home Health Aides (HHA) to patients based on the patient's needs and failed to develop an aide care plan that was specific to the patient's needs for 4 of 4 active records reviewed of patients with HHA services (#1, 2, 3, 6), in a total sample of 8 records.

The home health agency failed to ensure all patient complaints were thoroughly investigated and documented, and the complainant was notified of the complaint resolution, for 7 complaints reviewed which involved 4 of 5 active patients (#1, 2, 3, 5), in a total sample of 8 records.

The home health agency failed to ensure the comprehensive assessment contained a complete and thorough health and psychosocial status for 5 of 5 active records reviewed (#1, 2, 3, 6, 7), in a total sample of 8 records.

The home health agency failed to ensure the comprehensive assessment included the patient's strengths, progress towards goals, and care preferences for 5 of 5 active records reviewed (#1, 2, 3, 6, 7), in a total sample of 8 records.

The home health agency failed to ensure the comprehensive assessment included the patient's medical, nursing, and discharge needs for 5 of 5 active records (#1, 2, 3, 6, 7) in a total sample of 8 records.

The home health agency failed to ensure the comprehensive assessment included the primary caregiver's willingness and ability to provide care, availability, and schedules for 4 of 4 active records of patients with primary caregivers reviewed (#2, 3, 6, 7), in a total sample of 8 records.

The home health agency failed to ensure the comprehensive assessment was updated and revised at discharge to reflect the patient's progress towards their goals for 2 of 2 discharge clinical records (#4, 5), in a total of 8 records reviewed.

The home health agency failed to ensure the plan of care (POC) included all pertinent diagnoses, the patient's mental and psychosocial status, the supplies required, the patient's nutritional requirements, a complete list of the patient's medications, safety measures to prevent against injury…

The home health agency failed to ensure the Registered Nurse (RN) administered treatments according to the physician's order for 1 of 1 active records reviewed with a noted change to the patient's orders (#7) in a total sample of 8 records.

The home health agency failed ensure the patient's medical provider was notified for a change in the patient's condition for 1 of 1 active records with a noted change in patient condition (#7), in a total sample of 8 records.

The home health agency failed to ensure the revised plan of care (POC) contained the patient's progress towards their goals for 2 of 4 active records reviewed with revised plans of care (#1, 2), in a total sample of 8 records.

The home health agency failed to ensure the patient's home binder contained a current plan of care (POC) for 1 of 3 home visit observations, and failed to ensure the patient's home binder contained the manufacturer's instructions for specialty equipment for 3 of 3 home visit observations with…

The home health agency failed to ensure the Director of Nursing's (DON) name was accurate in the patient's home binder for 2 of 3 home visit observations (#1, 2).

The Registered Nurse (RN) failed to conduct a complete and thorough comprehensive assessment per professional and agency standards for 1 of 1 skilled nurse visit observations (#2), in a total of 3 home visit observations.

The home health aide (HHA) failed to complete only tasks that are included on the aide care plan and within the scope of their practice for 1 of 4 active records reviewed of patients with HHA services, in a total sample of 8 records (#1).

The home health agency failed to ensure the administrator reported to the governing body.

The home health agency failed to ensure the administrator was responsible for the day-to-day operations of all branches of the agency.

The home health agency failed to ensure the Director of Nursing (DON) assigned Home Health Aides (HHA) to patients based on the patient's needs, which had the potential to affect all agency patients.

The home health agency failed to ensure the parent branch provided direct support and administrative control of its branches, which had the potential to impact all patients.

The home health agency failed to ensure written agreements were in place which delineated the services each agency was to provide for 5 of 5 active shared patient records (#1, 2, 4, 6, 7), in a total sample of 8 records reviewed.

The home health agency failed to ensure a shared patient agreement which indicated the primary agency was created for 5 of 5 active shared patient records (#1, 2, 4, 6, 7), in a total sample of 8 records reviewed.