Amore Home Health Care Services, Inc

The agency failed to ensure the POC was developed in conjunction with the physician in 1 of 2 active clinical records reviewed with a SOC date after 11/01/2025 in a total sample of 7 clinical records reviewed.

The agency failed to ensure the performance improvement activities focused on high risk and problem-prone areas.

The agency failed to ensure a program was developed for the surveillance, identification, prevention, and control of infectious and communicable diseases specific to care and services provided in the home setting and was included in the agency’s Quality Assurance and Performance Improvement (QAPI)…

The agency failed to ensure the initial assessment was completed within 48 hours of the referral in 1 of 2 active clinical records with only SN services in a total sample of 7 clinical records reviewed.

The agency failed to ensure the comprehensive assessment included the patient’s nursing needs in 1 of 2 active clinical records reviewed with SN services only in 7 clinical records reviewed.

The agency failed to ensure the comprehensive assessment included a review of the medication to include drug interactions in 1 of 1 active clinical record review with therapy only services in a total sample of 7 clinical records reviewed.

The agency failed to ensure the POC included all measurable goals, medical equipment, and treatments for 4 of 4 active clinical records reviewed with a POC in a total sample of 7 clinical records reviewed.

The agency failed to ensure services were provided only as ordered by a physician in 2 of 2 active clinical records reviewed in a total sample of 2 active patients with wounds.

The agency failed to ensure the physician was notified of changes potentially requiring a change in the POC in 1 of 2 active clinical records reviewed with a hospitalization in a total sample of 7 clinical records reviewed.

The agency failed to ensure care was coordinated with all healthcare providers providing services to the patient in 1 of 1 active clinical record reviewed receiving services from a wound clinic (Patient #1) in a total sample of 2 active patients with wounds and in 1 of 1 active clinical record…

The agency failed to ensure the RN completed the clinical documentation at the time services were provided in 2 of 5 active clinical records reviewed.

The home health agency failed to ensure care was coordinated with outside healthcare entities who services agency patients for 2 of 2 active clinical records reviewed of patients living in an assisted living facility.

The home health agency failed to: maintain an emergency preparedness plan that was reviewed and updated at least every 2 years (see tag E0004); maintain an emergency plan that included a facility-based and community-based risk assessment utilizing an all-hazards approach (see tag E0006); maintain a…

The home health agency failed to ensure the patient’s services that are written in an individualized plan of care identifies patient specific measurable outcomes and goals (see tag G572); the plan of care included all required information for the treatment of the patient (see tag G574); the patient…

The home health agency’s QAPI (quality assessment performance improvement) program failed to evidence measurable improvement in indicators (see tag G642); utilize quality indicator data to identify opportunities for improvement (see tag G644); the QAPI data focused on high risk, high volume or…

The home health agency failed to maintain an infection control program (see tag G684); and provide infection control education to staff (see tag G686).

The home health agency failed to ensure the organization and management of the home health agency as follows: the governing body failed to assume responsibility of the agency’s budget and quality assessment and performance improvement program (see tag G942); the administrator failed to maintain the…

The home health agency failed to maintain an emergency preparedness plan that was reviewed and updated at least every 2 years.

The home health agency failed to maintain an emergency preparedness plan that included a facility-based and community-based risk assessment, utilizing an all-hazards approach that was updated every 2 years.

The home health agency failed to maintain a process for cooperation and collaboration with local, tribal, regional, state, and federal emergency preparedness officials.

The home health agency failed to document the policies and procedures had been reviewed and updated at least every 2 years.

The home health agency failed to ensure an individualized plan for each patient during a natural or man-made disaster was included in the patient’s comprehensive assessment in 7 of 7 clinical records reviewed.

The home health agency failed to maintain an emergency preparedness communication plan which included names and contact information for staff.

The home health agency failed to develop and maintain an emergency preparedness communication plan that included primary and alternate means for communication with the facility, staff, federal, state, tribal, regional, and local emergency management.

The home health agency failed to provide emergency preparedness training at least every 2 years, and failed to maintain documentation of all emergency preparedness training.

The home health agency failed to conduct or participate in a full scale community based drill, a facility based exercise or a tabletop exercises to test the emergency plan annually.

The agency failed to update the comprehensive assessment after significant decline in the patient’s health status in 1 of 1 clinical record reviewed with an injury sustained from a fall.

The home health agency failed to send all necessary medical information to the receiving facility or health care practitioner of a discharged or transferred patient to ensure the safe and effective transition of care in 3 of 3 discharged or transferred patients.

The agency failed to provide the services as directed in the plan of care in 1 of 2 clinical records reviewed with wounds.

The home health agency failed to include written instructions to the patient regarding visit schedule in 1 of 2 skilled nurse assisted living facility visits.

The home health agency failed to ensure measurable improvements indicators were implemented to improve health outcomes and quality of care for the agency's QAPI (quality assessment performance improvement) program.

The home health agency failed to ensure the QAPI (quality assessment performance improvement) program utilized data from the measures derived from OASIS (outcome and assessment information set) to identify opportunities for improvement and monitor the quality of care.

The home health agency failed to ensure performance improvement activities were utilized to track adverse patient events, analyze their causes, and implement preventative actions.

The home health agency failed to ensure there was at least one performance improvement project either in development, ongoing or completed each calendar year.

The home health agency failed to ensure the governing body was responsible for implementing and maintaining an ongoing program for quality improvement and patient safety.

The home health agency failed to maintain a coordinated agency-wide program for the surveillance, identification, prevention, and investigation of infectious and communicable diseases that is an integral part of the agency’s quality assessment and performance improvement program.

The home health agency failed to provide infection control education to staff.

The agency’s governing body failed to assume responsibility for the agency’s review of the agency’s budget and the quality assessment and performance improvement program.

The comprehensive assessment failed to be completed to include the assessment of the wounds within 30 days of the start of care in 1 of 2 clinical records reviewed with wounds.

The home health agency failed to ensure all medications were reviewed as part of the comprehensive assessment the patient was currently using, to identify any potential adverse effects, drug reactions, significant side effects, significant drug interactions and duplicate medications in 4 of 7…

The comprehensive assessment failed to be completed to include the assessment of the wounds within 48 hours of the patient’s return home from a hospital admission in 1 of 1 active clinical record reviewed with a hospitalization.

The home health agency failed to ensure the mental, psychosocial, cognitive status, types of services, supplies, equipment required, frequency and duration of visits, all medications, treatments and safety measures to protect again injury were in the patients individualized plan of care in 6 of 7…

The home health agency failed to include all patient care orders, including verbal orders in the plan of care in 1 of 3 patients receiving skilled nursing care.

The agency failed to revise the plan of care as frequently as the patient’s care required in 2 of 2 clinical records reviewed with hospitalizations.

The agency failed to notify the physician of changes in the patient’s condition in 3 of 7 clinical records reviewed.

The agency failed to communicate change in discharge plans to the physician in 1 of 2 closed records reviewed.

The home health agency failed to integrate services to assure the identification of patient needs that could affect patient safety and treatment effectiveness and failed to ensure the coordination of care was provided by all disciplines, in 4 of 7 clinical records reviewed.

The agency failed to provide patient/caregiver education in 1 of 2 clinical records reviewed with an infection.

The home health agency failed to provide the patient with written medication instructions written in plain language in 1 of 1 physical therapy home health visits observed.

The home health agency failed to ensure performance improvement activities focused on areas of high risk and high volume.

The home health agency failed to ensure the QAPI (quality assessment performance improvement) data considered incidence, prevalence, and severity of problems in the high risk or high volume areas.

The home health agency failed to evidence the QAPI (quality assessment performance improvement) data led to an immediate correction of any identified problems that directly or potentially threaten the health and safety of patients.

The home health agency failed to ensure the agency took measures aimed at performance improvement, to measure its success and track performance to ensure that improvements were sustained.

The home health agency failed to prepare clinical notes in 4 of 7 clinical records reviewed.

The administrator failed to ensure responsibility for all day-to-day operations of the home health agency.

The clinical manager failed to provide clinical oversight of referrals for therapy in 2 of 4 clinical records reviewed with physical therapy services.

The administrator failed to ensure medications were stored properly.

The home health agency failed to minimize potential exposure of COVID-19 to visitors at their home health agency office.

The agency failed to ensure the patient's needs were met in his or her place of residence for 2 of 6 active clinical records reviewed; failed to ensure the plan of care was followed for 3 out of 6 active records and 1 out of 2 closed records; failed to ensure the plan of care was individualized and…

The agency failed to develop an effective, ongoing, home health agency wide, data driven Quality Assessment Performance Improvement (QAPI) program; failed to show measurable improvement in health outcomes, patient safety, and quality of care and failed to measure, analyze, and track the quality…

The home health agency failed to ensure the plan of care was followed for 3 out of 6 active records reviewed (#1, #5, #6) and 1 out of 2 discharged records reviewed.(#8).

The home health agency failed to ensure all employees practiced standard/universal precautions in 1 out of 2 RN (Registered Nurse) home visits observed.

The agency's infection control program was not a part of the quality assurance program for 1 of 1 agency.

The agency failed to ensure clinical records reviewed included entries which were authentic and appropriately dated / timed for 2 of 8 records reviewed (#6 and #8).

The agency failed to ensure the patient was informed about changes to the care to be furnished for 1 of 6 active skilled clinical records reviewed, of a total sample of 8 clinical records reviewed.

The agency failed to ensure the plan of care was individualized and specific to the patients' needs for 1 of 6 active records reviewed (#4).

The home health agency failed to ensure they recorded referral orders on the plan of care for 1 of 6 active records reviewed (#6), out of a total of 8 clinical records reviewed.

The home health agency failed to ensure the skilled nurse who obtained the verbal order put the order into writing and sent to the physician for signature in 1 of 6 active clinical records (#4) reviewed, out of a total sample of 8 clinical records revewed.

The home health agency failed to ensure care coordination activities with the outside agencies caring for 1 of 1 active clinical records (#4) reviewed of a patient receiving incenter hemodialysis, out of a total sample of 8 clinical records reviewed.