Alterna Care Inc.

The Home Health Agency (HHA) failed to electronically report all OASIS data collected in accordance with regulations.

The Agency failed to demonstrate current compliance of the ability to ensure the Plan of Care identified care and services necessary to meet the patient's needs, included physician orders, and was revised accordingly.

The agency failed to provide documentation of the development, implementation, evaluation, and maintenance of an effective, ongoing, HHA-wide, data-driven Quality Assessment and Performance Improvement (QAPI) program.

The agency failed to maintain and document an complete infection control program which has as its goal the prevention and control of infections and communicable diseases.

The Agency failed to organize, manage, and administer its resources to attain and maintain the highest practicable functional capacity, including providing optimal care to achieve the goals and outcomes identified in the patient's plan of care, for each patient's medical, nursing, and…

The Home Health Agency (HHA) failed to ensure that the clinical records were protected and available and retrievable.

For 6 of 7 (Pt #1, Pt #2, Pt #3, Pt #4, Pt #5, Pt #6) patients, the Home Health Agency (HHA) failed to demonstrate that the encoded OASIS data accurately reflected the patient's status at the time of the respective assessment(s).

3 of 7 (Pt #1, Pt #5, Pt #6) patient's records reviewed, the Agency failed to provide a current patient Plan of care (POC).

The following dates lacked documentation to the physician of the high blood pressures: 10/22/2020-180/80, 10/29/2020-176/84, 11/16/2020-175/83 2. A request for "Vital Signs" policy was made on 2/3/2021 at approximately 2:00 PM.

The agency failed to provide documentation of a Quality Assessment and Performance Improvement (QAPI) program which: was capable of showing measurable improvement in indicators for which there is evidence that improvement in those indicators will improve health outcomes, patient safety, and quality…

In 1 of 3 (Pt #3) home visits observed, the Agency failed to follow accepted standards of practice; including the use of standard precautions, to prevent the transmission of infections and communicable diseases.

The Agency failed to provide a screening process for patients and staff to promote early detection and management of COVID-19 signs and symptoms.

The Agency failed to ensure Infection Control/COVID-19 annual training was completed in 5 of 10 (E #1, E #2, E #4, E #6, E #9) employees who provide in home care to patients.

The agency failed to have a current agency administrator.

The agency failed to ensure that clinical records were safeguarded against loss or unauthorized use.

The agency failed to ensure that clinical records were available and retrievable.

For 3 of 7 (Pt #1, Pt #2, Pt #3) patients, the Home Health Agency (HHA) failed to ensure completed assessments OASIS data were transmitted in the required format.

In 1 of 7 (Pt #6) patients' records reviewed, the Agency failed to ensure the Plan of Care (POC) included physician orders for services rendered.

The agency failed to have a current agency administrator, who was appointed by and reports to the governing body.

The agency failed to ensure that the parent reported to the appropriate entities that the two branch offices were closed.