American Advantage Home Care

The Agency failed to ensure patient care was coordinated to receive Skilled Nursing and Physical Therapy services for 3 (P-1, P-2, P-3) of 3 patients who required the ordered services, from a total of 3 sampled records reviewed, resulting in patients not receiving care based on their individualized…

The Agency failed to ensure the Registered Nurse completed the Initial Comprehensive Assessment within 48 hours of the date of referral, and failed to ensure the Nurse completed the initial assessment when both Nursing and Therapy services were ordered, for 6 (P's #2, 4, 6, 8, 9, 10) records, from…

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 and failed to ensure all prescribed medications had been included in the plan of care, for 5 (P's #1…

The home health agency failed to develop a Quality Assessment and Performance Improvement (QAPI) program that measures, tracks and analyzes it's quality indicators in order to assess the processes of care and services provided by the agency, resulting in the inability to improve patient care with…

The agency failed to document any infection control meeting minutes or infection control activities for 2023 (G-684).

The Agency failed to ensure the assigned Therapists assisted the physician in evaluating the patient's level of function and helped to develop the plan of care for 2 (P's #6, 9) patients of which Therapy services were ordered, from a total sample of 10 sampled records reviewed, resulting in the…

The Agency failed to ensure the Registered Nurse and Physical Therapist prepared clear written patient care instructions for the home health aide regarding client needs, prior to providing care in 3 (P's #1, 2, 6) of 4 records in which Home Health Aide services were ordered, from a total of 10…

The agency failed to provide evidence of its efforts to measure, track and analyze its quality indicators in order to assess processes of care and services, resulting in the inability to determine the scope of services provided and potential unmet care needs for all agency patients.

The agency failed to collect and monitor data for the Quality Assessment and Performance Improvement (QAPI) program to ensure the effectiveness and safety of services, quality of care to patients, and to identify opportunities for improvement.

The Agency (HHA) failed to track adverse patient events, analyze their causes, and implement preventative actions within their Quality Assessment Performance Improvement (QAPI) program, resulting in the potential for patient issues to go unresolved and negatively affect all patients served by the…

The Agency (HHA) failed to conduct any performance improvement projects within their Quality Assessment Performance Improvement (QAPI) program, resulting in the potential for patient and agency issues to go unresolved and affect all patients served by the agency.

The Governing Body failed to ensure the agency had an active and functioning Quality Assessment and Performance Improvement (QAPI) program that fulfilled all the regulatory requirements of this section, that addressed priorities for improved quality of care and patient safety and was evaluated for…

The agency failed to maintain an agency-wide program for the surveillance, identification, prevention, control, and investigation of infections and communicable diseases as a part of the agency's Quality Assessment Performance Improvement program, resulting in the potential spread of infections…

The Agency failed to ensure the Registered Nurse and Physical Therapist prepared clear written patient care instructions for the home health aide regarding client needs, prior to providing care in 3 (P's #1, 2, 6) of 4 records in which Home Health Aide services were ordered, from a total of 10…

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

The Agency failed to ensure the Registered Nurse completed the Initial Comprehensive Assessment within 48 hours of the date of referral, and failed to ensure the Nurse completed the initial assessment when both Nursing and Therapy services were ordered, for 6 (P's #2, 4, 6, 8, 9, 10) records, from…

The Agency failed to ensure the patient's Activity of Daily Living needs, Occupational Therapy needs, and medical needs were adequately met in the patient's home for 4 (P's #1, 2, 3, 6) patients who required the services, from a total of 10 sampled records reviewed, resulting in the potential for…

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: failed to ensure the Registered Nurse provided oversight of the review process, and failed to ensure the…

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 and failed to ensure all prescribed medications had been included in the plan of care, for 5 (P's #1…

The Agency failed to include contact information for the Home Health Agency's Clinical Manager in the Patient Admission/Orientation Packet, resulting in the potential for unaddressed patient concerns.

The Agency (HHA) failed to initiate any performance improvement activities within their Quality Assessment Performance Improvement (QAPI) program that focused on high risk, high volume or problem prone areas, resulting in the potential for agency issues to go unresolved and could negatively affect…

The Agency (HHA) failed to initiate any performance improvement activities within their Quality Assessment Performance Improvement (QAPI) program that considered incidence, prevalence, and severity of problems in identified areas of focus, resulting in the potential for the rendering of substandard…

The Agency failed to ensure the assigned Therapists assisted the physician in evaluating the patient's level of function and helped to develop the plan of care for 2 (P's #6, 9) patients of which Therapy services were ordered, from a total sample of 10 sampled records reviewed resulting in the…

The Agency failed to ensure that Medical Social Work, Occupational Therapy and Physical Therapy services were provided as ordered for 5 (P's #1, 2, 6, 7, 9) patients who required the services, from a total of 10 sampled records reviewed, resulting in the potential for psychological decline, lack of…

The Agency failed to ensure the clinical record was completed and included detailed Physical Therapy and Skilled Nursing notes for 4 (P's #2, 4, 5, 6) records with the ordered services, from a total of 10 sampled records reviewed, resulting in the potential for lack of continuity of care…

The agency failed to ensure all 16 of the agency's staff, including contracted staff, participated in the agency's Quality Assessment and Performance Improvement (QAPI) program, resulting in the potential for unaddressed agency issues and missed opportunities for agency performance improvement.

The agency failed to have all agency staff, including contracted staff, participate in agency sponsored in-services, resulting in the potential for poor patient outcomes.

The Agency failed to ensure the Home Health Aide provided care in accordance with the written plan of care for 1 (P-2) of 4 patients ordered to receive Home Health Aide services, from a total of 10 sampled records resulting in the patient not receiving care and services as ordered and unmet care…

The Administrator failed to ensure the Clinical Manager was available at all times during operating hours, resulting in the lack of clinical supervision and oversight and the potential for unmet care needs for the agency's existing patients.

The Clinical Manager failed to ensure the plan of care was implemented and that all patients received services as ordered by the Physician for 4 (P's #1, 2, 6, 9) patients who required medical and therapeutic management of their disease process, from a total of 10 patients reviewed, resulting in…

The Agency failed to ensure the transfer/discharge summaries were complete, provided the patient's current health status at the time of transfer/discharge, progress toward goals, and forwarded to the receiving facility and the Physician in 3 (P's #1, 2 and 7) records in which the patient was…