American Nurses

The agency failed to develop and implement an effective discharge planning process for 2 of 4 patients reviewed for discharge in a total sample of 5 patients, (#4 and #5).

The agency failed to complete a comprehensive discharge comprehensive assessment, including the required Discharge Outcome and Assessment Information Set (OASIS), for OASIS-eligible patients upon agency discharge for 2 of 4 patients reviewed for discharges in a total sample of 5 patients, (#4 and…

The agency failed to complete and send a discharge summary to the physician or other practitioner responsible for the patient’s care within five business days of discharge for 2 of 4 patients reviewed for discharges in a total sample of 5 patients, (#4 and #5).

The agency failed to initiate and complete a timely investigation after receiving a report of alleged misappropriation of patient property for 1 out of 7 patients reviewed, (#4).

The facility failed to provide patient visits as ordered for 1 of 5 sampled records reviewed.

The Home Health Agency failed to electronically transmit each completed OASIS assessment to the Center for Medicare and Medicaid Services (CMS) system within 30 days of completing the beneficiary assessment for 8.6% of 100 percent.

The agency failed to ensure that a nurse performed appropriate infection control techniques when providing wound care and disinfecting a blood pressure cuff and glucometer for 1 of 17 sampled patients (#1).

The agency failed to document clearly or accurately the frequency of visits from disciplines the patient was consenting to for 2 of 17 sampled patients (#15, #17).

The agency failed to notify the patient, immediate family, or representative of the right to report.

The agency failed to conduct an initial assessment visit within 48 hours of the referral for 3 of 17 patients (#1, #2, #16).

The Home Health Agency failed to review and update all the medications patients were taking to the plan of care for 4 of 7 patients during home visits of a total sample of 17 patients, (#4, #5, #7, and #8). 1.Review of patient #4’s medical record revealed a Start of Care (SOC) date of 10/24/23. Her…

The agency failed to ensure that a nurse obtained complete wound care orders for a patient (#1), obtained orders to test a patient’s blood sugar (#1), obtained complete orders regarding flushing a patient’s peripherally inserted central catheter (PICC) line (#13), and obtained an order to remove a…

The administrator failed to ensure the agency was organized, managed and administered its resources to maintain an accurate, functional and practicable patient census.

The agency failed to ensure nurses followed manufacturer’s guidelines for the use and disinfection of a glucometer for a patient (#1).

The Home Health Agency failed to document a follow up and resolution of complaints for 3 of 5 patients reviewed for grievances in a total sample of 8 patients, (#6, #7, and #8).

The Home Health Agency failed to provide services as indicated in the plan of care for 3 of 5 patients reviewed for care and services in a total sample of 8 patients, (#1, #2 and #3).

The Home Health Agency (HHA) failed to complete an updated discharge assessment of the patient's discharge status to include a summary of the patient's progress meeting care plan goals for 1 of 6 patient discharge records reviewed, out of a sample of 18 (#18).

The agency failed to provide services, ordered by the physician or as indicated in the plan of care, for 5 of 12 sampled patients (#4, 7, 9, 10 & 12).

The agency failed to ensure that the it organized, managed and administered resources to attain and maintain the highest practical functional capacity, including maintaining an accurate census of patients.

The agency failed to ensure that discharge summaries were completed and sent to the attending physician for 4 of 6 sampled discharged records reviewed (#14,16, 17 & 18).

The home health agency failed to meet patient medical needs in their place of residence by not implementing the plan of care when changes in the medical condition required immediate coordination and revisions to the individualized plan of care.

The home health agency failed to promptly alert the physician to a patient's critical labs for 1 of 4 sampled patients (#4).