Alliance Hhc & Nursing Service

The agency failed to timely encode and submit Outcome and Assessment Information Set (OASIS) in accordance with Center for Medicare (CMS) requirement.

The agency failed to ensure 2 of 3 home health aides (HHA-A, HHA-B) and 2 of 3 professional staff [registered nurse (RN)-B, licensed practical nurse (LPN)-A] completed required annual training.

The agency failed to complete a comprehensive assessment in a timely manner for 1 of 3 patients (P2) reviewed for active client's start of care (SOC).

The agency failed to complete a medication reconciliation to include all over the counter (OTC) medications for 1 of 1 patient (P5) reviewed for resumption of care.

The agency failed to include all required items on 1 of 3 patient’s (P2) plan of care (POC) reviewed for active clients.

The agency failed to include all required items on 1 of 3 patient’s (P2) plan of care (POC) reviewed for active clients.

The home health agency (HHA) failed to report allegations of abuse immediately for 1 of 1 patient (P1).

The facility failed to ensure their emergency preparedness policies and procedures included a risk assessment using an "all-hazards" approach.

The agency failed to ensure emergency preparedness policies and procedures addressed the use of volunteers in an emergency, or other emergency staffing strategies, including the process and role for integration of State and Federally designated health care professionals, to address patient surge…

The agency failed to develop a written emergency communication plan that identified primary and alternate means of communicating with staff, Federal, State, tribal, regional, and local emergency management agencies.

The agency failed to obtain physician orders for 1 of 7 patients (P3) receiving skilled nurse visits (SNV).

The agency failed to meet the Conditions of Participation 0001 to develop an emergency preparedness program that met all of the standards specified within the condition, including a comprehensive approach to meet the health, safety and security needs of the staff and client population during an…

The agency failed to ensure the physician was consulted to approve modifications to the original plan of care (POC) for skilled nursing visits, for 3 of 9 patients (P3, P5, P9), reviewed.

The licensee failed to provide the current Combined Federal and State Home Care Bill of Rights, dated 8/15/18, to 3 of 9 clients (P1, P3, P7) when admitted for home care services after 8/27/18, and failed to provide the updated version of the Combined Federal and State Home Care Bill of Rights to 6…

The agency failed to ensure 2 of 9 patients (P6, P3) were informed or consented to services or care being provided including any ongoing changes in services.

The agency failed to ensure 9 of 9 patients (P1, P2, P3, P4, P5, P6, P7, P8, P9) were informed in writing, of the extent of payment from Medicare/Medicaid or the expected out-of-pocket cost to the patient for the services.

The agency failed to ensure each patient had an initial assessment visit within 48 hours of the referral date for 3 of 9 patients (P6, P5, P8) reviewed, in the sample.

The agency failed to complete a comprehensive drug regimen review to ensure the accuracy of all medications/dosages for 3 of 9 patients (P6, P7, P5) whose medications were reviewed during home visits and record review.

The home health agency failed to complete a resumption of care (ROC) assessment including OASIS (Outcome and Assessment Information Set) data, within 48 hours of a hospital return for 1 of 1 patient (P8), who had been admitted to the hospital for greater than 24 hours.

The agency failed to complete a comprehensive discharge assessment within 48 hours of discharge from skilled nursing care, for 1 of 2 skilled patients (P9), reviewed, who were discharged from the agency.

The agency failed to ensure the plan of care (POC) included a description of the risk for emergency department visits and hospital re-admissions, and advanced directives, for 8 of 9 patients (P1, P2, P3, P4, P5, P7, P8, P9) admitted after January 13, 2018, whose records were reviewed.

The agency failed to coordinate patient care and services with the contracted therapy agency, for 1 of 1 patient (P1) receiving physical therapy (PT).

The facility failed to involve skilled professional staff to provide input and participate in the agency's Quality Assurance and Performance Improvement (QAPI) plan.

The agency failed to ensure all skilled professional staff participated in the agency sponsored inservice training for 1 of 5 licensed staff (registered nurse (RN)-A) during personnel record review.

The home health agency failed to ensure 1 of 5 home health aides ((HHA)-E) was qualified to perform the duties required of a home health aide.

The agency failed to ensure direct supervision of the home health aide (HHA) was completed every 60 days for 2 of 2 non-skilled patients (P6, P3) reviewed.

The home health agency (HHA) failed to meet the Condition of Participation at 484.50, Patient Rights.

The agency failed to ensure 2 of 2 patients (P1, P2) were free from mental abuse related to threats of revenge, and financial exploitation.

The agency failed to investigate complaints made by 2 of 2 patients (P1, P2), who complained of mental abuse by verbal threats, and misappropriation of patient property by agency staff.

The agency staff failed to report immediately to the State Agency (SA), allegations of mental abuse and misappropriation of patient property for 2 of 2 patients (P1, P2) reviewed, who reported mental abuse by verbal threats, and/or theft of personal property by agency staff.