Ameriflex Home Health Care, Inc

The agency failed to review and update their Emergency Preparedness plan at least annually (See E0004); failed to ensure their emergency plan was based on both a facility-based and community-based hazard risk assessment (See E0006); failed to ensure the Emergency Preparedness Plan addressed the…

The Home Health Agency failed to ensure goals on the Plan of Care were measurable (G 574); failed to ensure the patient's care plans were kept current and revised, as needed, with the patient's current treatment orders for wound care (G 586); failed to promptly notify the physician of the patient's…

The agency failed to ensure the Quality Assessment Performance Improvement program demonstrated measurable improvement in quality of care indicators by measuring, analyzing and tracking quality indicators for patient care, which had the potential to affect all 159 patients admitted in the past 12…

It was noted that the agency failed to ensure the registered nurse re-assessed the post-surgical and incision status of the patient (G706); failed to ensure physical and occupational therapy services were initiated within 5 days of admission (G710); failed to ensure the patient and caregiver were…

The agency failed to ensure home health aide skills were evaluated by observing the aide's performance of the tasks with a patient prior to performing services for the agency for 3 of 3 aides (Aide #1, 2 and 3) (See G768), failed to ensure that 3 of 3 Home Health Aides #1, #2 and #3 received the…

The agency failed to review and update their Emergency Preparedness plan at least annually, resulting in no directions for agency actions in the event of an actual emergency or disaster.

The agency failed to ensure their emergency plan was based on both a facility-based and community-based hazard risk assessment, resulting in the potential for being unprepared to respond effectively in the event of an emergency.

The agency failed to ensure the Emergency Preparedness Plan addressed the patient population, the services the agency could provide during an emergency and succession plans, affecting 159 of 159 patients served by the agency in the past 12 months, resulting the agency not being prepared to respond…

The agency failed to contact and collaborate with local, tribal, regional, State and Federal emergency preparedness officials to maintain an integrated response during a disaster or emergency.

The agency failed to ensure the emergency preparedness policies and procedures included a process for informing state and local emergency preparedness officials of patients needing evacuation from their residence at any time due to an emergency/disaster situation, this had the potential to affect…

The agency failed to ensure the Emergency Preparedness Plan included procedures to follow up with on-duty staff and patients to determine services that are needed, in the event that there is an interruption in services during or due to an emergency and to inform State and local officials of any…

The Agency failed to include in the Emergency Preparedness plan, a process for 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…

The agency failed to develop and maintain a communication plan for emergency preparedness affecting all 159 patients served in the past 12 months, resulting in the facility not being able to communicate effectively with facility staff, volunteers, other health care providers and emergency…

The agency failed to ensure initial and annual training in emergency preparedness policies and procedures was provided to all employees and contracted staff; failed to maintain documentation of emergency preparedness training provided to all staff (direct and contracted); and failed to demonstrate…

The agency failed to perform testing of their emergency preparedness program as required affecting 51 of 51 patients served by the agency in the past 12 months, resulting in the potential for being unprepared to respond effectively in the event of an actual emergency, which had the potential to…

The home health agency failed to ensure the patient's care plans were kept current and revised, as needed, for 2 of 2 records reviewed (M.R. #2 and 5) resulting in missed wound care orders and a potential for poor healing.

The agency failed to ensure the Quality Assessment Performance Improvement program demonstrated measurable improvement in quality of care indicators by measuring, analyzing and tracking quality indicators for patient care which had the potential to affect all 159 patients admitted in the past 12…

The agency failed to ensure the Quality Assessment Performance Improvement program used quality indicator data from the Outcome and Assessment Information Set items and other data to monitor the quality, effectiveness and safety of patient care services to identify areas in need of improvement…

The agency failed to track and analyze adverse events in order to implement preventative actions, which had the potential to negatively affect all 159 patients serviced by the agency in the past 12 months, resulting in the potential for failing to prevent future adverse events.

The agency failed to maintain documentation of the reason for choosing hospitalizations as their performance improvement project and documentation of any monitoring to determine whether any improvements were obtained or sustained, which could negatively affect all 159 patients admitted to the…

The Governing Body failed to ensure the agency had a Quality Assessment and Performance Improvement program that fulfilled the regulatory requirements of this section, addressed priorities for improved quality of care and patient safety and evaluated the effectiveness of improvement actions…

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 home health aide skills were evaluated by observing the aide's performance of the tasks with a patient prior to performing services for the agency for 3 of 3 aides (Aide #1, 2 and 3), from a total sample of 3 aide personnel files reviewed, resulting in the potential for…

The agency failed to ensure that 3 of 3 Home Health Aides #1, #2 and #3 received the required 12 hours of annual in-service training, resulting in a lack of educational opportunities pertinent to patient care and the potential for substandard care.

The home health agency failed to ensure Physical Therapy #1 completed the home health aide assignment sheet and included specific patient care instructions, specific safety measures, and was kept current, for 1 of 1 records reviewed (M.R. #2), receiving home health aide services, for a potential of…

The agency's governing body consisted of one individual rather than "designated persons", which had the potential to affect all 159 patients served by the agency in the past 12 months, resulting in the potential for provision of substandard or unsafe care.

The home health agency failed to inform the patients of the administrator's name, address and business phone number, as the person to receive complaints for the agency, resulting in a potential for unaddressed patient concerns or complaints for 37 of 37 active patients.

The home health agency failed to advise the patients of the charges that may not be covered by Medicare and the extent of payment that the patient may be held responsible for paying, before care was initiated, for 37 of 37 active patients, for a potential of unexpected financial liability for the…

The agency failed to inform the patients of the hours of operation of the Michigan toll free home health telephone hot line number, the right to use the number at any time and the purpose of the number is to receive complaints or questions about local Home Health Agencies, for all patients…

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 37 of 37 active patients.

The Home Health Agency failed to ensure goals on the Plan of Care were measurable in 7 of 7 records reviewed (M.R.#s 1, 2, 3 4, 5, 6 and 7), and include all safety measures to protect against injury (M.R. #2), resulting in the potential for a plan of care not meeting the patient's needs.

The registered nurse failed to promptly notify the physician of the patient's elevated blood sugars above 300mg/dl, as ordered by the physician on the plan of care for 1 of 1 record reviewed (M.R. #2) with Diabetes Mellitus, for a potential of poor clinical outcomes and not meeting the patient's…

The home health agency failed to maintain communication with all involved physicians regarding the patient's wound care orders for 2 of 2 records reviewed (M.R. #2 and 5) with wound care, for a potential of unmet care needs.

The home health agency failed to inform their patients of the contact information of the clinical manager name, address and business telephone number and the purpose for contact to discuss services, for 7 of 7 records reviewed (M.R. #1, #2, #3, #4, #5, #6 and #7) for a potential of unaddressed…

The Home Health Agency failed to develop a Quality Assessment Performance Improvement program that focused on high risk, high volume or problem-prone areas specific to the agency, affecting all 159 patients serviced in the past 12 months, resulting in the agency's inability to improve in patient…

The agency failed to ensure performance improvement actions were implemented, measured and tracked to ensure improvements in patient care, safety and outcomes were obtained and sustained over time, which had the potential to negatively affect all 159 patients services by the agency in the past 12…

It was noted that the agency failed to ensure the registered nurse re-assessed the post-surgical and incision status of the patient in 1 of 1 records reviewed in which the patient had surgery while on service with the agency out of a total of 7 records reviewed (MR #5), resulting in the potential…

The agency failed to ensure physical and occupational therapy services were initiated within 5 days of admission in 4 out of 7 records reviewed out of a total sample of 7 records (MR #1, #5, #6 and #7) resulting in the patient's not receiving care in a timely manner and services not received as…

The agency failed to ensure the patient and caregiver were provided wound care teaching/instructions for 1 of 1 record reviewed (M.R. #2) with wound care, for a potential of improper wound care and unmet care needs.

The home health agency failed to maintain communication with all involved physicians regarding the patient's wound care orders for 1 of 1 records reviewed (M.R. #2) with wound care, for a potential of unmet care needs.

The Registered Nurse #2 and the Physical Therapy #1 failed to complete a supervisory visit, no less frequently than every 14 days, to monitor the services provided by the home health aides for 1 of 1 records (M.R. #2) reviewed with home health aide services, for a potential of unmet care needs for…

The agency failed to ensure an annual onsite supervisory visit was completed, at least every 12 months, to observe and assess each home health aide as they perform patient care for 3 of 3 home health aides (Aide #1-date of hire 8/29/17, Aide #2-date of hire 8/9/18 and Aide #3-date of hire 8/9/18)…

The agency failed to ensure the discharge summaries included a summary of the patient's status, patient specific care provided and patient outcomes in 2 of 3 records that contained a discharge summary out of a total of 7 records reviewed (MR #5 and 7), resulting in the potential for unmet…