Amazing Care Home Health Services, Inc

The Agency failed to develop and maintain an Emergency Preparedness Plan that included the required elements, that had been reviewed and updated at least every 2 years, resulting in the potential for the Agency's inability to provide safe patient care in the event of an actual emergency.

The Agency failed to develop and maintain an Emergency Preparedness training and testing program that was based on the emergency plan, the risk assessment, policies and procedures, and the communication plan of this section that had been reviewed and updated at least every 2 years, resulting in the…

The agency failed to ensure its skilled disciplines provided care and services in accordance with the ordered visit frequency for 2 (P-1, P-4) patient ordered to received skilled nursing and physical therapy services, from a total of 7 sampled records reviewed, resulting in the potential for…

The agency failed to ensure its skilled discipline utilized infection control standards of practice during the provision of care for 1 (P-2) patient observed during a home visit, from a total of 7 sampled records reviewed, resulting in the potential for the development and spread of infection.

The agency failed to ensure the patient was properly assessed prior to the provision of care for 1 (P-2) patient observed during a therapy home visit, from a total of 7 sampled records reviewed resulting in the potential for injury and decline in overall health.

The Agency failed to ensure that at least one qualifying service was provided directly by agency employees, resulting in the potential for interruption in continuity of care and unmet care needs.

The agency failed to ensure the comprehensive assessment included a review of all medications to determine any adverse effects; failed to provide documented evidence of the drug regime review, and failed to ensure the physician was notified of potential drug interactions in 2 (P-1, P-3) records…

The agency failed to ensure the plan of care covered all pertinent interventions with reportable parameters, safety precautions and objectively measurable goals specific to the needs of the patient for 4 (P-1, P-2, P-3, P-4) records, from a total of 7 sampled records reviewed, resulting in patients…

The agency failed to ensure the Goals on the Plan of Care were objectively measurable in 4 of 7 records reviewed (P-4, P-5, P-6, P-7) to determine the patient's progress towards obtaining the goals.

The agency failed to ensure a discharge summary was completed, detailed the patient's course of care provided and documented the overall health status at the time of discharge for 3 (P-1, P-2, P-4) patients discharged from the agency's services, from a total of 7 sampled records reviewed, resulting…

The Home Health Agency (HHA) failed to ensure the goals on the Plan of Care (POC) were measurable in 4 of 7 records reviewed (M.R.#s 1, 3, 4, 5), from a total of 7 records reviewed, resulting in the potential for a plan of care not meeting the patient's needs.

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

The Agency (HHA) failed to ensure the comprehensive assessment included a review of all medications to determine any adverse effects; failed to document the findings of the drug regime review as required and failed to ensure the physician was notified of potential drug interactions in 3 of 7…

The agency (HHA) failed to ensure the plan of care (POC) included safety precautions in 5 of 7 records reviewed (MR#s 1, 2, 3, 5, 7).

The agency failed to ensure services were provided only as ordered by the physician in 1 of 7 (MR# 7) records reviewed, resulting in the potential for the provision of inappropriate care and services.

The agency failed to ensure clinical notes were accurate for 2 of 7 (MR# 5 and 6) records reviewed, resulting in the potential to negatively affect the health and well-being of these patients.

The agency failed to include in the Emergency Preparedness plan the use of volunteers and other emergency staffing strategies, including the process and role for integration of State and Federally designated health care professionals to address surge needs during an emergency; and failed to ensure…

The agency failed to provide initial training in emergency preparedness policies and procedures to all new and existing staff, individuals providing services under arrangement, and failed to provide Emergency Preparedness training at least annually, maintain documentation of the training and…

The agency failed to conduct exercises to annually test the emergency plan or provide documentation of an actual event that would qualify as a test of the emergency plan; failed to conduct a second full-scale exercise or a tabletop exercise; failed to analyze the agency's response to the exercises…

The Home Health Agency (HHA) failed to ensure the goals on the Plan of Care (POC) were measurable in 7 of 8 records reviewed (M.R.#s 1, 2, 3, 4, 5, 7 and 8), resulting in the potential for a plan of care not meeting the patient's needs.

The home health agency failed to collect data for the Quality Assessment and Performance Improvement (QAPI) program, and there was no approval by the governing body for the frequency of collecting and analysis of data, resulting in the agency failing to utilize program data and potentially…

The agency failed to develop a performance improvement project from 2017 through 2019, resulting in the agency's inability to improve patient outcomes, safety, and quality of care for the agency's 44 patients admitted in the past year.

The home health agency failed to advise their patients of the names, addresses and telephone numbers of the federally and state funded entities that serve the area where the patient resides, resulting in the potential for unmet patient care needs for all 44 patients serviced by the agency in the…