Advantage Home Health Care Inc

The home health agency failed to include in their Emergency Plan a communication plan with the names and contact information for all staff members and the names and contact information for the patients’ physicians, potentially affecting all patients and staff.

The agency failed to ensure all staff followed standard precautions for 2 of 2 home visits observed (#1,2) to properly safeguard against potential transmission of COVID-19. Findings include: 1. The Centers for disease control (CDC) article titled "When and how to perform hand hygiene," stated…

The agency failed to ensure transfer to another agency was completed when the agency was not able to meet the needs of the patients, failed to ensure they did not require the patients to have a written primary caregiver prior to admission to homecare and failed to follow their policy by ensuring…

The agency failed to ensure the comprehensive assessments contained all required information, were patient specific, ,and completed at the correct intervals.

The agency failed to: ensure the agency was able to meet the needs of the patient in their home, ensure the plan of care (POC) included all measurable goals based on the needs of the comprehensive assessment, all nutrition/fluid orders, specific medication directions, safety measures, diagnoses…

The agency failed to ensure a discharge (DC) order was written and sent to the physician for signature for 2 of 2 discharge records completed after December of 2017 (#8, 9).

The agency failed to ensure all staff followed standard precautions for 2 of 2 skilled nurse home visits (#2, 5).

The agency failed to ensure that all prospective home health aide (HHA) employees performed all tasks required, in their entirety with a patient, as required to show competence for placement on the home health aide registry for 1 of 1 agency.

The Registered Nurse (RN) failed to ensure the home health aide (HHA) care plan was individualized with specific timeframe's the tasks were to be completed for 7 of 7 records reviewed with HHA services (#1, 3, 4, 6, 7, 8, 10).

The agency failed to ensure transfer to another agency was completed when the agency was not able to meet the needs of the patients and failed to ensure they did not require the patients to have a written primary caregiver prior to admission to homecare.

The agency failed to follow their policy and failed to ensure all patients were free from physical abuse for 1 of 1 patient records reviewed who had employee G as the home health aide (#3).

The agency failed to ensure the patient/caregiver was not subjected to retaliation during the complaint investigation for 1 of 1 abuse complaints reviewed (#3).

The comprehensive assessment failed to contain all information about the current health status for 6 of 10 records reviewed (#1, 4, 5, 6, 8, 10).

The agency failed to ensure comprehensive assessment contained individual patient goals, strengths and care preferences identified by the patient for 9 of 9 records reviewed of patients who received care after the new regulations began on 1/18/18 (#1, 2, 3, 4, 5, 6, 8, 9, 10).

The registered nurse (RN) failed to ensure the comprehensive assessment contained a complete review of medications the patient is taking and medication lists were accurately maintained for 4 of 10 records reviewed.

The registered nurse (RN) failed to ensure the comprehensive assessment contained detailed information regarding the patient's primary caregiver for 9 of 9 records reviewed of patients who received care after the new regulations began on 1/18/18 (#1, 2, 3, 4, 5, 6, 8, 9, 10).

The agency failed to ensure the plan of care (POC) included all measurable goals based on the needs of the comprehensive assessment, all nutrition/fluid orders, specific medication directions, safety measures, diagnoses, parameters of when to call the physician, and risk for hospitalization for 10…

The agency failed to ensure the skilled nurse didn't provide care absent of a physician's order for 1 of 10 records reviewed (#4).

The agency failed to ensure the revised plan of care (POC) was created from information gathered during the comprehensive assessment for all patients.

The agency failed to ensure patients were provided a 15 day notice of their intent to discharge for 1 of 2 discharge records reviewed (#9).

The registered nurse (RN) failed to ensure the patients were provided a medication list written in plain language that did not use medical abbreviations in 2 of 10 records reviewed (#6, 8) and the the registered nurse (RN) failed to ensure the comprehensive assessment contained a complete review of…

The agency failed to ensure the discharge summary contained an accurate discharge date for 1 of 2 discharge records reviewed (#8).

The home health aide (HHA) failed to complete visits in accordance with the plan of care (POC) orders for frequency for 1 of 7 records with HHA services.

The agency failed to ensure written agreements were in place with other agency's providing care in the home for 1 of 1 agency.