Allied Home Health Care & Nursing Services

The Agency failed to develop an Emergency Preparedness plan that had been reviewed and updated at least every 2 years, resulting in lack of direction for Agency personnel in the event of an actual emergency or disaster.

The Agency failed to ensure an Emergency Preparedness plan existed that was based on a documented facility and community-based risk assessment from an all-hazards approach, that had been updated at least every 2 years, resulting in the potential for lack of preparedness and poor patient and staff…

The Agency failed to ensure that 2 (P-1, P-2) of 3 patients observed during home visits, from a total of 7 sampled records reviewed, were included in the overall planning of care including informing the patient/caregiver in advance of the days in which services would be provided, resulting lack of…

The Agency failed to ensure the patient received proper written notice (Notice of Medicare Provider Non-Coverage) in advance of the agency terminating on-going care for 1 (P-3) of 2 discharged records, resulting in the patient being denied the right to appeal the decision to end covered services.

The Agency failed to ensure the Initial Comprehensive Assessment was conducted within 48 hours of the date of referral for 1 (P-1) record reviewed where start of care services was delayed, from a total of 7 sampled records reviewed, resulting in delay in needed care and services and the potential…

The agency failed to ensure the comprehensive assessment accurately reflected the patient's current health status and included the events leading to the need for home care services in 2 (P-1, P-3) records, from a total of 7 sampled records reviewed, resulting in incomplete/inaccurate clinical…

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 who required assistance with grooming, from a total of 7 sampled records reviewed, resulting in the potential for poor hygiene, lack of self-esteem and unmet care…

The agency failed to ensure the discharge summaries were complete and detailed the course of care provided, including progress toward goals and failed to ensure the summaries were forwarded to the Physician within 5 days of the date of discharge for 2 (P-3, P-5) of 2 discharged records, from a…

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

The agency failed to ensure the comprehensive assessment included a review of all medications to determine any adverse effects and failed to provide documented evidence that the physician was notified of identified drug interactions in 3 (MR#s 2, 3, and 4) of 7 records reviewed, resulting in the…

The Agency failed to ensure the plan of care covered all pertinent interventions with reportable parameters, safety precautions and objectively measurable goals in 7 of 7 (MR#s 1, 2, 3, 4, 5, 6, and 7) records reviewed, resulting in the potential for poor patient outcomes for all 57 patients…

The agency failed to ensure that discharge and transfer summaries were complete, provided the patient's current health status at the time of discharge and transfer, documented progress toward goals, and provided an updated medication list in 2 of 3 records (MR#'s 4, 7) who were…