Alaphia Care Home Health Services, Inc.

The agency failed to ensure that the Condition of Participation: G510 484.55 Comprehensive assessment of patients was in compliance as follows: Based on interview and record review the agency failed to ensure the initial assessment (evaluation to determine the immediate care and support needs of…

The agency failed to ensure that the Condition of Participation: G 570 484.60: Care planning, coordination, quality of care was in compliance as follows: Based on interview and record review, the agency failed to ensure an individualized care plan (a document that provides direction on the type of…

The agency failed to ensure that the Condition of Participation: G 700 484.75 Skilled Professional Services was in compliance as follows: Based on interview and record review, the agency failed to ensure skilled nursing (SN – a Registered Nurse- RN or Licensed Vocational Nurse-LVN) visits were…

The agency failed to ensure an individualized care plan (a document that provides direction on the type of medical care a patient needs) was created and followed for five of 12 sampled patients (Patients 3, 5, 6, 8, and 9).

The agency failed to provide services as ordered by the physician for three of 12 sampled patients (Patient 1, 4, and 8).

The agency failed to ensure skilled nursing (SN – a Registered Nurse- RN or Licensed Vocational Nurse-LVN) visits were performed by professionals with appropriate qualifications for four of 12 sampled patients (Patients 3, 4, 11 and 12).

The agency failed to ensure the initial assessment (evaluation to determine the immediate care and support needs of the patient) was completed within 48 hours of the physician’s referral date or on the physician’s ordered start of care date for three of 12 sampled patients (Patients 4, 8, and 9)…

The agency failed to ensure the comprehensive assessment (a thorough assessment completed with info from multiple sources such as nursing, physical therapy, and social services to determine the medical and personal needs of the patient) was completed within 5 calendar days of the start of care for…

The agency failed to ensure a discharge assessment (a component of the comprehensive assessment completed to ensure the discharge process meets the needs of the patient) was completed by a registered nurse (RN) for one of 12 sampled patients (Patient 1).

The agency failed to complete a recertification assessment (a patient evaluation done prior to another certification period beginning) within the last five days of the 60-day certification period for four of 12 sampled patients (Patients 5, 6, 8, and 9).

The agency failed to ensure the individualized care plan (a document that provides direction on the type of medical care a patient needs) contained all of the required elements for four of 12 sampled patients (Patients 8, 9, 10, and 11) when: The individualized care plan did not contain all…

The agency failed to ensure a physician’s order had been obtained for services rendered to five of 12 sampled patients (Patient 5, 6, 8, 9, and 10) when: Skilled Nursing (SN- a Registered Nurse-RN or a Licensed Vocational Nurse-LVN) visits were provided without a physician’s order, for Patients 5…

The agency failed to ensure a Registered Nurse (RN) provided supervision of care provided by a Licensed Vocational Nurse (LVN) for five of 12 sampled patients (Patients 5, 6, 7, 8, and 10).