Adaptive Nursing and Healthcare Services, LLC

The agency failed to develop and implement a QAPI (quality assurance and performance improvement) plan that showed measurable data to track and analyze trends related to adverse patient events and infection control concerns to monitor the patient quality of care and improve health outcomes and…

The home health agency failed to ensure standard infection control precautions were followed (See G682); failed to ensure an agency wide program was maintained for infectious and communicable disease was an integral part of the QAPI program (See G684); failed to create, maintain, and implement…

The agency failed to ensure a current plan of care and admission packet was provided to the patient for 2 of 3 home visits with the potential to affect all patients.

The agency failed to develop and implement an agency-wide QAPI (quality assurance and performance improvement) plan that showed measurable data to track and analyze trends related to adverse patient events and infection control concerns to monitor the patient quality of care and improve health…

The agency failed to utilize quality indicator data in its QAPI (quality assurance and performance improvement) plan to monitor the effectiveness, safety, and quality of patient care, and identify opportunities for improvement for 1 of 1 QAPI reviewed.

The agency failed to conduct any performance improvement projects for 1 of 1 home health agency.

The agency failed to develop and implement written policies and procedures to ensure all agency staff was in compliance with the Center for Medicare and Medicaid Services COVID-19 vaccination mandate and failed to keep an accurate list of agency employees for tracking of vaccination purposes, for 1…

The agency failed to secure computer entry into patient clinical records from persons not employed directly or contracted specifically to this agency, for 1 of 1 home health agency.

The governing body failed to ensure the agency Administrator met current qualifications for 1 of 1 home health agency.

The agency failed to ensure patient rights were adhered to and patients received care as ordered by the physician for 1 of 1 closed record reviews.

The agency failed to ensure the resolution was documented for 1 of 1 patient complaints.

The agency failed to follow agency policy to inform patients about Home Compare that included quality of patient care data to make an informed decision; and failed to provide sufficient notice of its planned cessation to operate and furnish patient care visits under the current license for 1 of 1…

The agency failed to ensure coordination of care with other unaffiliated licensed agencies occurred for 2 of 7 active records reviewed.

The agency failed to ensure a current medication profile was provided to the patient for 1 of 3 home visits.

The agency failed to ensure patient safety was maintained during patient care for 1 of 3 home visit observations which has the potential to affect all patients that are a fall risk.

The agency failed to ensure home health aides completed a home health aide training, skills competency and/or competency evaluation program that was not currently precluded from operating or being the site of a home health training and competency program for 1 of 1 agency which had the potential to…

The agency failed to comply with CMS COVID-19 vaccination requirements and failed to comply with guidelines of the Social Security Act by not operating or being the site of a home health aide training, skills competency and/or competency evaluation program for a period of two years based on the…

The agency failed to ensure home health aide services were consistent with the home health aide training for 2 of 3 home visit observations.

The agency failed to ensure qualified personnel reported directly to the Governing Body with no intermediaries for 1 of 1 home health agency.

The agency failed to take responsibility and ensure a written contract or agreement with other licensed agencies that furnished services to this agency's patients was maintained for 1 of 1 home health agency (Person B, C, D, Alternate Administrator) with the potential to affect all patients.

The agency failed to ensure skilled nursing services were offered in addition to home health aide services for 1 of 1 home health agency.

The agency administrator failed to ensure Adaptive Nursing and Healthcare Services LLC., - Evansville administrative and supervisory responsibilities were not delegated to other Entities on an ongoing basis for 1 of 1 quality assessment and performance improvement program review; and failed to…

The agency failed to provide home health aide services as ordered on the plan of care for 2 of 6 records reviewed.

The agency failed to follow infection control standards of practice for 1 of 4 home visit observations.

The agency failed to verify visitors self-screened for Covid-19 prior to entering the home health agency during a pandemic for 5 of 5 survey days.

The agency failed to notify the State agency of a change in management / ownership for Adaptive Nursing and Healthcare Services, LLC., for 1 of 1 home health agency.

The governing body failed to exercise its responsibility for the agency's management by having failed to adopt policies in the legal name of the agency, Adaptive Nursing and Health Care Services, LLC., d/b/a Adaptive Nursing and Healthcare Services for 1 of 1 governing body; and failed to maintain…

The administrator failed to demonstrate distinct boundaries of the Medicaid-certified program in relation to any other programs the larger organization has to offer in 1 of 1 home health agencies.

The agency failed to disclose the name of each person who is an officer, director, an agent, or a managing employee for Adaptive Nursing and Healthcare Services LLC., the legal name of the agency for 1 of 1 home health agency.

The agency failed to notify the state agency of the name and address of the current governing body or other responsible person for the management of the HHA since the transfer of agency stocks for 1 of 1 home health agency.

The agency failed to ensure the administrator reported directly to the Governing Body without the use of intermediaries for 1 of 1 home health agency.

The administrator failed to ensure the agency met all rules and regulations for recertification and failed to ensure the responsibility for all day-to-day operations of the parent agency for 1 of 1 home health agency.

The agency failed to disclose a merge of a branch location for 1 of 1 home health location, to the state agency (Indiana Department of Health) and failed to ensure if the Centers for Medicare and Medicaid Services (CMS) was notified and approved the merge prior to moving all patients to the parent…