Advisacare

The agency failed to ensure its Emergency Preparedness plan had been updated and reviewed at least every 2 years.

The Agency failed to ensure its disciplines utilized Infection Control standards of practice during the provision of care and services for 1 (P-3) patient observed during a home visit from a total of 7 sampled records reviewed, resulting in the potential for the development and spread of infection.

The Agency failed to provide documented evidence that infection control education was provided to all staff employed by this agency, resulting in the potential for the development and spread of infection to staff and all 22 patients currently serviced by this agency.

The agency failed to ensure the registered nurse prepared written patient care instructions that included safety measures for 1 of 2 (P-4) records reviewed in which aide services were provided, resulting in a lack of direction regarding the safety needs of this patient.

The agency failed to ensure the registered nurse conducted the initial assessment visit to determine the immediate care needs of the patient, including homebound status for 2 of 4 (P-4 and P-1) records reviewed in which both skilled nursing and therapy services were ordered, resulting in the…

The agency failed to ensure the patient's activity of daily living needs were adequately met in the patient's home for 1 (P-3) patient observed during a home visit, who required assistance with grooming and toileting, from a total of 7 sampled patients reviewed, resulting in low self-esteem and the…

The agency failed to ensure the comprehensive assessment included a review of all medications to determine any adverse effects; failed to provide documented evidence of the drug regime review: failed to ensure the Registered Nurse provided oversight of the review process, and failed to ensure the…

The agency failed to ensure the plan of care included measurable outcomes and goals for 1 of 5 (P-7) records reviewed with skilled nursing care, resulting in the potential for poor patient outcomes for this patient.

The agency failed to ensure the patient was advised of the ordered disciplines and their visit frequency prior to the provision of care and services for 1 (P-1) patient ordered to receive home health services, from a total of 7 sampled records reviewed, resulting in the patient not having a say in…

The agency failed to ensure Medical Social Work services were provided as ordered by the Physician and the Plan of Care for 1 (P-1) patient who required assistance with resources, from a total of 7 sampled records reviewed, resulting in a lack of assistance with acquiring needed resources.

The agency failed to ensure a discharge summary was completed, detailing the course of care provided, responses to treatment and the health status of the patient at the time of discharge, and failed to ensure the summaries were forwarded to the Physician within 5 days of the date of discharge for 1…

The agency failed to ensure the registered nurse conducted the initial assessment visit within 48 hours of referral, to determine the immediate care needs of the patient, including homebound status for 1 of 10 (MR#4) records reviewed in which Skilled Nursing services were ordered, resulting in a…

The agency failed to ensure the plan of care included measurable outcomes and goals for skilled nursing for 3 of 10 (MR# 2, 3, 5) records reviewed, resulting in the potential for poor patient outcomes due to a lack of quantifiable measures to determine patient progress towards goals.

The agency failed to ensure a discharge summary was sent to the physician within 5 business days of the patient's discharge for 3 of 6 (MR# 1, 5, 10) records reviewed in which the patient was discharged from the agency, resulting in the physician not having knowledge of the patient's health status…

The agency failed to ensure their locations identified as "drop sites" did not have staff assigned to these locations, advertise them as a part of the HHA or operate them in any other way as branches of the HHA for 3 of 4 locations in the Northwest Michigan Region (G970); and failed to report all…

The agency failed to ensure their locations identified as "drop sites" did not have staff assigned to these locations, advertise them as a part of the HHA or operate them in any other way as branches of the HHA for 3 of 4 locations in the Northwest Michigan Region.

The agency failed to ensure all branch site locations were reported to the State Agency at the recertification survey dated 07/16/2018, resulting in the agency providing care from unapproved locations.

The Agency's emergency preparedness plan failed to include a process for cooperation and collaboration with local, tribal, regional, State and Federal emergency preparedness officials to maintain an integrated response during a disaster or emergency; and failed to document the agency's efforts to…

The agency failed to ensure the emergency preparedness policies and procedures included a process for informing state and local emergency preparedness officials of patients in need of evacuation from their residences at any time due to an emergency situation based on the patient's medical and…

The facility failed to develop and maintain an emergency preparedness communication plan that included contact information for Federal, State, tribal, regional, local emergency preparedness staff and other sources of assistance, resulting in the lack of essential information in the event of an…

The facility failed to develop and maintain an emergency preparedness communication plan that included a method for sharing information and medical documentation for patients under the agency's care with other health providers to maintain the continuity of care; a means, in the event of an…

The agency failed to ensure initial training in emergency preparedness policies and procedures was provided to all employees and contracted staff; failed to maintain documentation of emergency preparedness training provided to all staff; and failed to demonstrate staff knowledge of emergency…

The agency failed to ensure the patient's family or guardian was notified of their right to exercise the patient's rights in 2 of 3 records reviewed in which the patient had diagnoses of dementia or a cognitive impairment (MR#s 2 and 3) of a total sample of 7 records reviewed.

The agency failed to ensure the RN (registered nurse) prepared written patient care instructions alerting the home health aide (HHa) to the safety precautions that were applicable to each patient, for 2 of 2 records reviewed (MR#'s 2 and 5) in which HHa services were provided, from a total sample…

The agency failed to provide a copy of the signed written consent form to patients in 1 of 3 records reviewed in which a joint survey home visit occurred.

The Agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, and history of events leading to current home care needs in 7…

The registered nurse, or the physical therapist failed to document on the comprehensive assessment the primary and other caregivers' willingness, ability, their availability, and scheduled hours and days to provide care for the patients in 4 of 7 records reviewed (MR#s 2, 3, 4 and 6), of a total of…

The Agency failed to ensure the Plan of Care included functional limitations in 4 of 7 records reviewed (MR#s 1, 2, 3, and 4); Safety Precautions in 3 of 7 records reviewed (MR#s 1, 3, and 4); and patient specific, individualized, measurable goals and interventions in 6 of 7 (MR#s 1, 2, 3, 4, 5, 6)…

The agency failed to ensure the skilled nurse performed complete assessments and re-assessments of the patient's health status including objective monitoring of weights in 1 of 1 records (MR#1) in which parameters for weight was ordered; objectively monitoring of patients edema in 4 of 7 records…

The HHA (Home Health Agency) failed to ensure the plan of care included individualized measurable goals and outcomes, and the staff visit notes failed to document the patient's progress towards achieving those identified goals in 2 of 7 records reviewed (MR#s 1 and 2) out of a total of 7 records…