American Home Health Services Inc

The agency failed to ensure: the needs of the patient were met (See G0570); the plan of care was reviewed by the physician, individualized and followed by all agency staff (See G0572); the plan of care included all required information / elements for the treatment of the patient (See G0574); all…

The home health agency failed to ensure: measure, analyze, and track quality indicators (G0642); utilize data to identify opportunities for improvement (G0644); improvement activities must focus on high risk or problem prone areas (G0646); performance improvement activities analyze patient adverse…

The home health agency failed to ensure: standard precautions and agency policies were followed to prevent infection (see tag 0682) and infection surveillance was maintained to prevent infection (See G0684).

The agency failed to ensure the comprehensive assessment was updated and revised as frequently as the patient’s conditions warrants due to a major decline or improvement in the patient’s health status in 1 of 2 active clinical records reviewed with wounds (Patients #1) and in 1 of 2 active clinical…

The agency failed to ensure each patient received the home health services that are written in the individualized plan of care that identifies patient-specific measurable outcomes and goals in 6 of 6 active clinical records reviewed (Patients #1, 2, 3, 4, 5, and 8).

The agency failed to follow standard precautions and agency policy to prevent the transmission of infections in 2 of 3 active clinical records reviewed with a home visit (Patient #1, 2).

The agency failed to maintain a coordinated agency-wide program for the surveillance, identification, prevention, control, and investigation of infectious and communicable diseases.

The agency failed to ensure the RN assigned tasks appropriately to the HHA in 2 of 2 active clinical records reviewed with HHA services (Patients #4, 8).

The agency failed to ensure all entries in the clinical record are appropriately authenticated in 6 of 6 active clinical records reviewed (Patients #1, 2, 3, 4, 5, 8).

The agency failed to ensure the rights of the patients including consent in advance of and during treatment in 4 of 6 active clinical records reviewed (Patients #1, 4, 5, 8).

The agency failed to evidence they educated patients, who declined services and requested to discharged form home health services, on the risks and potential adverse outcomes that may result from the discontinuation of services in 1 of 1 closed clinical record reviewed with a discharge per patient…

The agency failed to evidence the patient or their designated decision maker was advised that discharge was imminent in 1 of 1 closed clinical record with the Patient discharged with goals being met (Patient #6).

The agency failed to ensure the comprehensive assessment included a review of all medications for potential adverse effects and drug reactions in 5 of 6 active clinical records reviewed.

The agency failed to ensure the comprehensive assessment included the assessment of the availability, ability, and willingness of the primary caregiver to provide care in 2 of 2 active clinical records reviewed assessed to be bedbound.

The agency failed to ensure the plan of care included all services provided to the patient in 3 of 6 active clinical records reviewed.

The agency failed to ensure services and treatments were administered only as ordered by a physician in 5 of 6 active clinical records reviewed (Patients #1, 2, 3, 5, 8).

The agency failed to notify the physician of changes in the patient’s condition in 3 of 6 active clinical records reviewed.

The agency failed to ensure services were integrated to ensure the identification of patient needs and factors that could affect treatment effectiveness and coordination of care provided by all disciplines in 4 of 6 active clinical records reviewed (Patients #1, 2, 3, 5).

The agency failed to ensure skilled professionals assumed responsibility for prepared clinical notes in 5 of 6 active clinical records reviewed (Patient s#1, 2, 3, 5, 8).

The agency failed to ensure the HHA completed tasks per the care plan in 1 of 2 active clinical record reviewed with HHA services.

The agency failed to ensure the HHA supervision included the aide’s compliance with infection control, reported changes in the patient’s condition, and honored the patient’s rights in 2 of 2 active clinical records reviewed with HHA services.

The CM failed to demonstrate oversight of the nursing services and monitoring to ensure nursing services were provided to patients as ordered, to include making patient and personnel assignments in 3 of 6 active records reviewed with nursing services ordered.

The agency failed to ensure agency services were provided in accordance with current clinical practice guidelines and accepted professional standards of practice in 5 of the 5 clinical records reviewed with more than 60 days of admission (Patient #1, 2, 4, 5, 6).

The agency failed to ensure a completed discharge summary was provided to the physician in 2 of 2 closed clinical records reviewed (Patient #6, 7).

The home health agency failed to ensure all clinicians' documentation was clear and complete to provide an accurate description of the assessment for 1 of 2 closed records reviewed.

The home health agency failed to ensure the medication profile was reviewed as needed for 1 of 2 patients where a home visit was conducted.

The home health agency failed to ensure the plan of care was individualized for all treatments, including but not limited to medications for 1 of 2 active clinical records reviewed.

The home health agency failed to ensure the home health aide followed the care plan as instructed by the registered nurse for 2 of 2 patient records reviewed with a home health aide, from a total of 4 clinical records reviewed.

The home health agency failed to develop an emergency preparedness plan that was individualized to the location of the facility (See tag E0004).

The home health agency failed to ensure all clinicians practiced standard precaution to prevent the transmission of infectious and communicable diseases during patient care (See tag G0682), develop and implement policies and procedures to ensure that all staff are fully vaccinated against COVID-19…

The home health agency failed to develop an emergency preparedness plan that was individualized to the location of the facility.

The home health agency failed to ensure a Hazard Vulnerability Analysis (HVA) was conducted to reflect the probability of events that would occur in the location of the agency.

The home health agency failed to ensure each patient was provided with an individualized emergency preparedness plan for 7 of 7 clinical records where a home visit was conducted.

The home health agency failed to ensure the emergency preparedness plan included the contact information for local officials in the event of an emergency.

The home health agency failed to ensure all clinicians practiced standard precaution to prevent the transmission of infectious and communicable diseases during patient care in 1 of 1 home visit with a home health aide (HHA).

The home health agency (HHA) failed to develop and implement policies and procedures to ensure that all staff are fully vaccinated against COVID-19. The findings include: Record review of an undated agency policy titled “Infection Control Plan” retrieved on 2/18/2022, stated “Policy The Agency has…

The home health agency failed to ensure the plan of care was revised to reflect the most current frequencies and durations for all disciplines for 4 of 4 patients who received PT [physical therapy] services, from a total of 5 active clinical records reviewed.

The home health agency failed to ensure each patient was provided a written visit schedule for 2 of 3 patient home visits conducted.

The home health agency failed to ensure each patient was provided a current and complete written medication list with instructions for 1 of 3 patient home visits conducted.

The home health agency failed to ensure each patient was provided information about the treatments and services being provided for 3 of 3 patient home visits conducted.

The home health agency failed to ensure every home health aide (HHA) was competent in the required categories prior to patient contact for 1 of 2 HHA personnel records reviewed.