Adoration Home Health

The facility failed to ensure a Governing Body was established to oversee the Home Health Agency. §484.105(a): Governing Body §484.105(b)(1): Administrator §484.105(b)(2): Alternate Administrator §484.105(e)(2): Written Agreement

The facility failed to ensure patients with limited English proficiency are provided a translator in their preferred language (Patient (P6)).

The facility failed to ensure that facility policies to prevent the transmission of infections and communicable diseases, related to cleaning of equipment, hand hygiene, and bag protocol, in four of seven home visits (Patient (P)1, P2, P3, and P7) are adhered to by all staff.

The facility failed to ensure a Governing Body was established for the Home Health Agency.

The facility failed to ensure staff communicate with the physician when there is a delay in services when a missed visit occurs, in seven of the 12 active medical records reviewed (Patient (P)1, P2, P3, P9, P10, P11, and P12).

The facility failed to ensure the administrator was appointed by the facility's governing body.

The facility failed to ensure an alternate administrator was designated, in writing, by the facility's administrator and governing body.

The facility failed to ensure written agreements for social work services, that were provided to the home health agency's patients, by another home health agency.

The agency failed to ensure: 1) physician orders indicated on the patient's plan of care, are implemented; 2) services ordered by the physician are provided as indicated in the plan of care.

The facility failed to ensure that acceptable standards of practice for hand hygiene, are implemented.

The agency failed to ensure all needed skilled professional staff are involved in the patient's plan of care.

The facility failed to ensure patient-specific plan of care goals and interventions, based on patients' medical diagnosis, physician orders, comprehensive assessment, and patient input.

The facility failed to ensure a comprehensive assessment reflecting the patient’s current health status, including identification and assessment of relevant active medical problems, is performed at all times.

The facility failed to ensure the patient's needs concerning essential medical equipment needed for blood glucose monitoring is addressed.

The facility failed to ensure the implementation of facility policy concerning care coordination among various disciplines, to meet patients' needs.

The Home Health Agency (HHA) failed to ensure that all patient's receive an individualized emergency plan as part of their comprehensive assessment.

The facility failed to ensure that the vital signs policy is implemented for Patient #4. Findings include: Reference: Facility policy "Vital Signs" states, "... Policy: ... Therapist will assess vital signs when performing comprehensive assessment visits and any time patient experiences a change in…

The facility failed to ensure that the hand hygiene policy is implemented.

The facility failed to ensure that the comprehensive assessment is completed within 5 (five) calendar days of the start of care for Patient #9. Finding include: Reference: Facility policy, "Patient Assessment, Initial and Reassessment" states, "... Procedure: ... 3. c.

The facility failed to ensure that communication with the physician involved in the plan of care occurred for Patient #6 and Patient #9. Findings include: Reference: Facility policy "Coordination Of Care, From Admit through Discharge" states, "... Procedure: ...

The facility failed to ensure that the physical therapist communicated the need of a referral for occupational therapy for Patient #5. Findings include: 1. On 2/20/20, review of Medical Record #5 revealed a Home Health Certification and Plan of Care, Start of Care dated 1/24/20 for the…

The facility failed to ensure that the plan of care is implemented for Patient #9. Findings include: 1. On 2/20/20, a review of Medical Record #9 revealed the following: a.