All Care Home Health Provider
Inspection 2025-11-20
· Complaint · 13 deficiencies · CMS source report (PDF)The Home Health Agency (HHA) failed to meet the Condition of Participation for Comprehensive Assessment of Patients as follows: 1.The HHA failed to ensure the comprehensive assessment included a complete physical assessment for two of seventeen sampled patients (Patient 3, Patient 12).
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The Home Health Agency (HHA) failed to ensure the Condition of Participation regarding Care Planning, Coordination, and Quality of Care was met as follows: 1. The HHA failed to ensure the Plan of Care (POC) was followed for three of seventeen sampled patients (Patient 12, Patient 14, Patient 16).
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The Home Health Agency (HHA) failed to ensure the Condition of Participation regarding Clinical Records was met as follows: 1.The HHA failed to ensure one of seventeen sampled patients (Patient 1) clinical records included all the necessary forms.
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The Home Health Agency (HHA) failed to ensure the Plan of Care (POC) was followed for five of seventeen sampled patients (Patient 7, Patient 10, Patient 12, Patient 14, Patient 16).
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The Home Health Agency (HHA) failed to provide written information regarding the plan of care and medication list for two of seven patients (Patient 7 and Patient 12).
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The Home Health Agency (HHA) failed to ensure patient care records were complete and authenticated for two of seventeen sampled patients (Patient 1, Patient 2).
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The Home Health Agency (HHA) failed to ensure the comprehensive assessment included a complete physical assessment for two of seventeen sampled patients (Patient 3, Patient 12).
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The Home Health Agency (HHA) failed to review and document all the medications and treatments the patient was currently using for six of seventeen sampled patients (Patient 2, Patient 3, Patient 6, Patient 8, Patient 12, Patient 14).
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The Home Health Agency (HHA) failed to ensure the comprehensive assessment for one of seventeen sampled patients (Patient 12) accurately reflected the primary care doctor responsible for the patient's care.
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The Home Health Agency (HHA) failed t include information required in the plan of care for two of seventeen sampled patients (Patient 2, Patient 12).
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The Home Health Agency (HHA) failed to ensure the physician reviewed and revised seven of seventeen sample patients (Patient 1, Patient 2, Patient 8, Patient 9, Patient 14, Patient 15, and Patient 17) individualized plans of care.
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The Home Health Agency (HHA) failed to ensure one of seventeen sampled patients (Patient 1) clinical records included all the necessary forms.
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The Home Health Agency (HHA) failed to send all necessary medical information to the primary care practitioner within 5 days of patient's discharge from home health services for two of seventeen sampled patients (Patient 15 and Patient 16).
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Inspection 2024-09-10
· Complaint · no deficiencies cited · CMS source report (PDF)Inspection 2024-02-29
· Complaint · no deficiencies cited · CMS source report (PDF)Inspection 2023-09-19
· Recertification · 7 deficiencies · CMS source report (PDF)The Home Health Agency (HHA) failed to meet the Condition of Participation (refer to the requirements that healthcare organizations must meet to participate in federal healthcare programs) for Care Planning, Coordination of Services, and Quality of Care as follows: 1. Based on interview and record…
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The Home Health Agency (HHA) failed to follow a written plan of care (POC) for one of 17 sampled patients (Patient 2).
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The home health agency staff failed to ensure the plan of care contained specific goals and interventions for pain management for two of 17 sampled patients (Patients 11 and 12).
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The home health agency (HHA) failed to ensure the medications and treatments were administered as ordered by the physician for one of 17 sampled patients (Patient 2).
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Is an agency or organization primarily engaged in providing skilled nursing services and other therapeutic services to a patient's personal residence) failed to notify the physician of the patient's blood sugar readings for one of 17 sampled patients (Patient 2).
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Is an agency or organization primarily engaged in providing skilled nursing services and other therapeutic services to a patient's personal residence) failed to ensure the Skilled Nurse (SN) provided instructions or health teaching on how to check blood sugar reading and for patient caregiver (PCG…
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The home health agency (HHA is an agency or organization primarily engaged in providing skilled nursing services and other therapeutic services to a patient's personal residence) failed to ensure that the plan of care (POC) included parameters for oxygen (is an important gas in the air we breathe)…
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Inspection 2023-06-16
· Complaint · 14 deficiencies · CMS source report (PDF)The Home Health Agency (HHA) failed to meet the Condition of Participation for Comprehensive Assessment of Patients as follows: 1. The HHA failed to review and document all the medication changes and update the “Medication Profile” (the information about the medicine a person is using and has used)…
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The Home Health Agency (HHA) failed to meet the Condition of Participation for Care Planning, Coordination of Services, and Quality of Care as follows: 1. The HHA failed to follow the patient's written plan of care (POC), for two of 8 sampled patients (Patients 1 and Patient 2).
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The Home Health Agency (HHA) failed to ensure that the Condition of Participation for Skilled Professional Services was met as follows: 1. The HHA failed to follow the plan of care (POC) for two of eight sampled patients (Patient 2 and Patient 6).
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The home health agency (HHA) failed to ensure the emergency preparedness training for all staffs was conducted at least annually.
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The home health agency (HHA) failed to ensure a completed pressure ulcer (injuries to the skin due to prolong pressure on the skin) wound assessments were conducted that included the size of the ulcer including length and width in centimeters, tunneling (a wound that progressed to form passageways…
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The home health agency (HHA) failed to follow the patient's written plan of care (POC) for two of eight sampled patients (Patient 1 and Patient 2).
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The Home Health Agency (HHA) failed to ensure the agency skilled nurse (SN) performed standard precautions to prevent the transmission of infections and communicable diseases for two of eight sampled patients (Patient 3 and Patient 5).
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The Home Health Agency (HHA) failed to review and document all the medication changes for three of 8 sampled patients (Patients 2, 3, and 6).
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The HHA failed to ensure that an insulin (a hormone produced in the pancreas that lowers the level of glucose (a type of sugar) in the blood) was indicated in the patient's admission order for insulin in the plan of care for one out of 8 sampled patients (Patient 2).
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The home health agency (HHA) failed to ensure that the medications and treatments were administered as ordered by the physician for three of 8 sampled patients (Patient 1, Patient 2, and Patient 3).
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The home health agency (HHA) failed to notify the physician promptly of the patient's change of the pressure ulcer wound (damage to an area of the skin caused by constant pressure on the area for a long time) for one of 8 sampled patients (Patient 1).
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The Home Health Agency (HHA) failed to ensure the Skilled Nurse (SN) provided instructions or health teaching on how to check blood sugar reading and to self-administer insulin for one of 8 patients (Patient 2).
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The home health agency (HHA) failed to follow the plan of care (POC) for two of eight sampled patients (Patient 2 and Patient 6).
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The Home Health Agency (HHA) failed to ensure designated attending physician was notified and notifications were documented when ordered home visit services were missed for one of eight sampled patients (Patient 1).
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