Anc Homehealth Services

The agency failed to follow its policy pertaining to infection control for one (1) of three (3) clinical home visits conducted, (CHV #3) Findings Include: A review of agency policy titled was conducted on 10/26/23 at approximately 12:00 PM and revealed the following: Policy titled, "7.2. Infection…

The agency failed to demonstrate the following: A minimum of 75 hours of classroom and supervised practical training in a practicum laboratory or other setting in which the trainee demonstrates knowledge while providing services to an individual under the direct supervision of a registered nurse…

The governing body and the administrator failed to ensure a supervising registered nurse or similarly qualified alternate, is available at all times during operating hours.

An interview with the administrator and director of nursing the agency failed to ensure physician orders were followed for five (5) of seven (7) clinical records reviewed (CR #2, 4, 5, 6, & 7) Findings include: Review of agency policy occurred on 10/26/23 at approximately 12:00 PM and revealed the…

Personnel files at the agency failed to Complete/Document: A complete initial competency evaluation for three (3) of eight (8) PFs reviewed (PF# 1, 3, & 6) and An FBI Criminal Background Check for one (1) of eight (8) PFs reviewed (PF #2) and Child Abuse History Clearance for two (2) of eight (8)…

The agency failed follow its policy to base the emergency preparedness plan on and include documentation of a facility-based and community-based risk assessment, utilizing an all-hazards approach.

The agency failed to ensure the emergency preparedness plan included the names and contact information for agency staff and local/regional/state/federal emergency preparedness officials.

The agency failed to provide care consisting of daily weights as ordered for one (1) of eight (8) clinical records (CR).

The agency failed to conduct exercises to test the emergency plan at least annually.

The agency failed to provide documentation of twelve (12) annual in-service hours for one (1) of two (2) home health aide (HHA) PF reviewed (PF #6).

The governing body failed to approve the appointment of a supervising physician or Registered Nurse or a similarly qualified alternate.

The governing body and the administrator failed to ensure a supervising registered nurse or similarly qualified alternate, is available at all times during operating hours.

The agency failed to ensure that the home health aides had evidence of the required mandated training for two(2) of seven (7) PF reviewed.

The administrator failed to ensure the personnel files contained the following documents in accordance with agency policy: criminal background checks for one (1), of seven (7) PF reviewed (PF #1), verification of qualifications for four (4) of seven (7) PF reviewed (PF #1, 3, 6, and 7), and annual…

The agency did not follow its policy by not conduct testing for mycobacterium tuberculosis according to the Center for Disease Control (CDC) guidelines for two (2) of four (4) personnel files reviewed.

The facility failed to ensure its staff complied with agency policy and failed to assure compliance with state law regarding current licensure of staff for one (1) of four (4) Licensed Practical Nurses.

The Agency did not alert the physician of changes to the plan of care and did not follow its policy regarding submission of clinical record visits when clinical visits are missed for one (1) of three (3) clinical records reviewed (Clinical record # 1).

The facility failed to document that a summary of the patient's progress was sent to the physician at least once every sixty (60) days per agency policy for one (1) of three (3) clinical records reviewed.

The agency failed to follow its policy regarding sending a discharge summery to the physician for one (1) of three (3) clinical records.