Advanced Healthcare Services, LLC

For 1 of 7 patients (Pt #1) home visits observed, the Agency failed to ensure medication reconciliation was complete and accurate.

For 1 of 1 (Pt #15) patients requiring speech therapy, the Agency failed to ensure visits were conducted in accordance with the physician ordered plan of care (POC).

The Home Health Agency failed to ensure the testing of its Emergency Plan (EP) with a facility-based exercise, in addition to either a community based exercise, if available, or tabletop exercise.

In 1 of 3 (Pt. # 9) patient's records reviewed, the Home Health Agency (HHA) failed to ensure the Physical Therapy Assistant (PTA) supervisory visit was conducted no less frequently than every 4-6 visits.

In 1 of 13 (Pt #3) clinical records reviewed, the Hospice failed to ensure physician orders were authenticated.

For 1 of 4 (Pt#5) patients, in which home visits were conducted, the Agency failed to ensure medication lists were accurate and discrepancies were clarified.

In 2 of 6 (Pt. # 7 and Pt #13) patient's records, the Home Health Agency failed to ensure the Home Health Aide supervisory visit was conducted no less frequently than every 2 weeks.

In 1 of 8 (Pt #13) clinical records reviewed, the Hospice failed to ensure occupational therapy visit notes were submitted per policy.