Angel Arms Home Health

The facility failed to develop, implement, evaluate, and maintain an effective, ongoing, home health agency (HHA)-wide, data-driven Quality Assessment and Performance Improvement (QAPI) program.

The facility failed to develop and maintain an emergency plan, to include facility-based and community-based risk assessments to assist the facility in addressing the needs of its patient population in the event of an emergency.

The facility failed to ensure physical therapy services were provided as per the physician-ordered plan of care and that the physician was consulted regarding the missed services for 1 (Patient 8) of 10 patients whose plans of care were reviewed.

The Home Health Agency failed to maintain a Quality Assurance and Performance Improvement (QAPI) program that measured, analyzed, and tracked quality indicator data to monitor the effectiveness and safety of patient services.

The agency failed to ensure the home health aides followed the patient-specific care instructions prepared on the home health aided care plan by the registered nurse during each visit, for one of 10 sampled patients (#9).

The agency failed to ensure the contents of the clinical record was complete and included all skilled nursing visit notes that included current information obtained during the skilled nurse's visit, for two of 10 sampled patients (#2 and #5).

The agency failed to ensure each patient's plan of care was individualized to include: The patient's mental status for one of 10 sampled patients, (#7).