Advance Medical Services, Inc

The home health provider failed to ensure the patient’s physician(s) were notified of missed visits in two of five full records reviewed (Records/Patients #1 and #2).

The home health provider failed to ensure that clinicians developed a plan of care that contained patient-specific interventions with measurable outcomes and goals in one of five full records reviewed (Record/Patient #1).

The home health provider failed to provide a discharge summary to the primary care physician after discharge within five business days of the patient’s discharge, in one of six discharge records reviewed (Record/Patient #5).

The agency failed to provide one (Patient #1) of three home visit observations the right to participate in, be informed about, and consent to or refuse care, in advance of and during treatment.

The agency failed to update the written notice of patient rights to be advised, orally and writing, of financial liability changes as soon as possible, in advance of the next home health visit of charges for services that may not be covered by Medicare, Medicaid, or any other Federally-funded or…

The agency failed to update the written notice of patient rights to include that the patient and representative (if any) be advised of the name, addresses, and telephone number of the following Federally funded and state funded entities that serve the area where the patient resides to include the…

The agency failed to have a registered nurse (RN) complete the initial assessment of the patient within 48 hours of the referral to home care, or on the physician ordered start of care date in, but not limited to, two (Records/Patients #2 and #4) of five full records reviewed.

The agency failed to review all of the patient's current medications to maintain an accurate/updated medication profile in, but not limited to, two (Records/Patients #1 and #2) of two home visit observations.

The agency failed to include all the elements of an individualized plan of care in, but not limited to, two (Records/Patients #1 and #3) of five full records reviewed.

The agency failed to ensure that services ordered by the physician are provided as indicated in the plan of care in, but not limited to, two (Records/Patients #4 and #5) of five full records reviewed.

The agency failed to ensure they employ qualified personnel by failing to verify professional licenses on, but not limited to, one (OT B) of three employee records reviewed.

The agency failed to develop and provide the patient and/or representative with a written notice of patient rights that included all required information based on the new home health regulations effective 01/13/18. The agency failed to provide in writing, in advance of furnishing care, the…

The agency failed to: - Include all required items on the individualized plan of care (G574); - Include all patient care orders on the plan of care (G576); - Include the time verbal orders were received from physicians (G584); - Provide the patient with a written visit schedule (G614); - Provide…

The agency failed to: - Ensure there was evidence that the agency is measuring, analyzing, and tracking quality indicators (G642); - Ensure the agency used data collected to monitor the effectiveness and safety of the services and quality of care and identifying opportunities for improvement…

The agency failed to maintain and document an infection control program which has as its goal the prevention and control of infections and communicable diseases.

The agency failed to ensure: - The governing body assumed full legal authority and responsibility for the agency management, operation, and the provision of all home health services including its quality assessment performance improvement (QAPI) program (G942); - The availability of a clinical…

The agency failed to provide individual emergency plans for each patient as part of the comprehensive patient assessment in, but not limited to, two (Record/Patient #3 and #5) of five clinical records reviewed.

The agency failed to ensure that emergency preparedness training was provided to the staff at least annually in five (PT A, RN B, PTA C, OT D, and OS E) of five employee files reviewed.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the notice that if a patient has been adjudged to lack legal capacity to make health care decisions under state law by a court of proper…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that information must be provided to patients in a language and in a manner that is accessible and timely to persons with disabilities…

The agency failed to provide evidence that the agency was measuring, analyzing, and tracking quality indicators.

The agency failed to provide evidence that collection of quality data was on-going to: - Monitor the effectiveness and safety of the services and quality of care; and - Identify opportunities for improvement.

The agency's Quality Assessment and Performance Improvement (QAPI) activities failed to show the agency conducted at least one performance improvement project to reflect the scope, complexity, and past performance of the agency's services/operations with measurable progress achieved.

The agency failed to provide evidence that the governing body was responsible for ensuring the agency had an ongoing program for quality improvement and patient safety.

The agency failed to follow accepted standards of practice to prevent the transmission of infections and communicable diseases in two (Records/Patients #1 and #3) of three home visit observations.

The agency failed to maintain a coordinated agency-wide program for the surveillance, identification, prevention, control and investigation of infectious and communicable diseases that is an integral part of the quality assessment and performance improvement (QAPI) program.

The agency failed to maintain a coordinated agency-wide infection control program that included infection control education to staff.

The agency failed to ensure the governing body assumed full responsibility of the Quality Assessment and Performance Improvement (QAPI) program.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include: - Transfer and discharge policies; - Rights and responsibilities that are understandable to persons who have limited English…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the agency must obtain the patient/representative signature confirming that he/she has received a copy of the notice of rights and…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the written notice to the patient about their right to have a copy of the patient's rights and responsibilities provided to a…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient has the right to be free from verbal, mental, sexual and physical abuse, including injuries of unknown source, neglect and…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient has the right to participate in, be informed about, and consent or refuse care, with respect to completion of all…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient has the right to receive all services outlined in the plan of care The deficient practice has the potential to affect the…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient has the right to be advised of financial liability changes as soon as possible, in advance of the next home health visit.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient has the right to receive proper written notice, in advance of a specific service being furnished, if the agency believes…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient has the right to be advised of the names, addresses, and telephone numbers of federal and state-funded entities that serve…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient has the right to be informed of the right to access auxiliary aids and language services and how to access these services.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the patient and representative (if any) have a right to be informed of the agency's policies for transfer and discharge when the…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the patient and representative (if any) have a right to be informed of the agency's policies for transfer and discharge when the…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient and representative (if any) have a right to be informed of the agency's policies for transfer and discharge if the physician…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the patient and representative (if any) have a right to be informed of the agency's policies for transfer and discharge when the…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 regarding the patient rights when the agency determines that the patient or other persons in the home has behavior that is disruptive, abusive or…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must advise the patient or representative, physicians, and healthcare professionals who will be responsible for…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that if the patient is being considered for a discharge for cause, the agency must make efforts to resolve the problem.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that if the patient is being considered for a discharge for cause, the agency must provide the patient or representative with contact…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must document the problem and efforts made to resolve the problem, if the patient is considered for a discharge for…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the patient and representative (if any) have a right to be informed of the agency's policies for transfer and discharge if the…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient and representative (if any) have a right to be informed of the agency's policies for transfer and discharge if the agency…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must investigate mistreatment, neglect, or verbal, mental, sexual, and physical abuse, including injuries of unknown…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must take action to prevent further potential violations while investigating a complaint.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that any agency staff in the normal course of providing services to patients, who identifies, notices, or recognizes incidences of…

The agency failed to provide a complete drug regimen review during the start of care comprehensive assessment and an accurate updated medication profile during the episode of care in, but not limited to, two (Record/Patient #3 and #5) of five records reviewed.

The agency failed to update the comprehensive assessment including the Outcome and Assessment Information Set (OASIS) at discharge for one (Record/Patient #5) of two closed record reviews completed.

The agency failed to include the required items accurately and completely on the individualized plan of care in, but not limited to, three (Records/Patients #1, #3, and #5) of five records reviewed.

The agency failed to include all patient care orders on the plan of care in one (Record/Patient #1) of five records reviewed.

The agency failed to provide a time the orders are received from the physician in, but not limited to, one (Record/Patient #5) of five records reviewed.

The agency failed to provide the patient/caregiver with a copy of written instruction outlining the visit schedule, including the frequency of visits in, but not limited to, two (Records/Patients #1 and #3) of three home visit observations.

The agency failed to provide the patient/caregiver with a copy of written instructions outlining the patient's medication schedule/instruction, including the medication's name, dosage, and frequency in, but not limited to, two (Records/Patients #1 and #3) of three home visit observations.

The agency failed to provide the patient/caregiver with a copy of written instructions of any treatments being administered by the agency in, but not limited to, two (Records/Patients # 1 and #3) of three home visit observations.

The agency failed to provide in writing the name and contact information of the clinical manager in, but not limited to, two (Records/Patients # 1 and #3) of three home visit observations.

The agency failed to provide evidence of any performance improvement activities that were focused on high risk, high volume, or problems-prone areas.

The agency failed to ensure a clinical manager is available during all operating hours.

The agency failed to ensure when the administrator is not available, a qualified, predesignated person, who is authorized in writing by the administrator and the governing body, assumes the same responsibilities and obligations as the administrator.

The agency failed to ensure compliance in accepted standards of practice for employment in, but not limited to, one (Employee-PT A) of five employee files reviewed when the agency failed to: - Provide documented evidence of the employee's criminal disclosure statement, hepatitis B declination, and…

The agency failed to ensure: - A completed transfer summary was sent within two business days of a planned transfer in one (Record/Patient #1) of one record reviewed that had a transfer to a facility; and - A completed discharge summary was sent to the primary care practitioner or other health care…