Angels of Mercy Homecare
Inspection 2025-03-17
· Recertification · 8 deficiencies · CMS source report (PDF)The home health agency failed to ensure the POC included an accurate medication list (see Tag G574), failed to ensure wound care was performed according to the current physician order (see G580), failed to notify the physician of changes in the patient’s arm circumference measurement and failed to…
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The home health agency failed to ensure a discharge summary was sent to the patient’s physician for 1 of 5 discharge patient records reviewed (Patient #14).
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The home health agency failed to ensure all staff followed standard precautions and infection control policies and procedures for 6 of 7 home visit observations (Patient #1, 2, 3, 4, 5, 6).
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The home health agency failed to ensure all therapy evaluations were conducted within five calendar days after the SOC for 4 of 8 active records reviewed of patients with physical therapy and/or occupational therapy services ordered (Patients #1, 5, 9, 12).
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The home health agency failed to ensure the POC included an accurate medication list for 2 of 7 home visit observations (Patient #1, 2).
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The home health agency failed to ensure wound care was performed according to the current physician order for 1 of 3 home visit observations of a SN visit where wound care was performed (Patient #7).
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The home health agency failed to notify the physician of changes in the patient’s arm circumference measurement for 1 of 1 record reviewed of a patient with a PICC line (Patient #2) and failed to notify the physician of an increase in wound measurements for 2 of 3 home visit observations of a SN…
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The skilled professional failed to use an appropriate sized blood pressure (BP) cuff to assess a patient’s BP for 2 of 7 home visit observations (Patient #1, 7), failed to perform a complete assessment of a patient’s lung, heart, and bowel sounds for 3 of 7 home visit observations (Patient #2, 3…
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Inspection 2022-03-22
· Focused Infection Control, Recertification · 7 deficiencies · CMS source report (PDF)The home health agency failed to ensure the patients received all services and interventions as ordered in the plan of care for 1 of 12 active records reviewed (Patient #6).
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The home health agency failed to ensure their policies and procedures included the specific additional precautions in place for the prevention of COVID-19 transmission, for the agency's unvaccinated staff with an approved temporary, religious, or medical exemption to the COVID-19 vaccination for 1…
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The home health agency failed to ensure the comprehensive assessment included a complete and thorough assessment of all patient conditions and diseases for 4 of 12 active records reviewed (Patients # 1, 10, 11, and 12).
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The agency failed to ensure the plan of care was patient specific, and included all pertinent diagnoses, durable medical equipment (DME), medications and treatments, safety measures appropriate to the patient, patient - specific discharge planning, and patient-specific interventions and measurable…
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The home health agency failed to ensure the physician was notified of a change in patient condition for 5 of 12 active records reviewed (Patients #4, 6, 10, 11, and 12).
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The home health agency failed to ensure the physician who ordered and signed the home care orders, was notified of a medication change when ordered by another physician, for 1 of 1 home visit observation of patient receiving physical therapy services only (Patient #1).
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The home health agency failed to ensure the home health aide (HHA) performed tasks only as ordered on the aide care plan for 1 of 1 home health aide visit observed (Patient #6).
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Inspection 2019-05-31
· Recertification · 6 deficiencies · CMS source report (PDF)The agency failed to ensure a contract existed between Angels of Mercy and another entity (#2) to review and submit its Outcome and Assessment Information (OASIS) documents for all 574 current patients, and up to and including discharged patients and failed to ensure the protection of clinical…
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The agency failed to ensure administrative, patient care, and supervisory functions were not delegated to another entity (See G940); failed to ensure policies, procedures, and other documents were adopted by Angels of Mercy (See G942) for 1 of 1 agency.
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The agency failed to ensure the protection of clinical records from unauthorized use for 10 of 14 clinical records reviewed, up to, and including all current 574 patient records.
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The Governing Body of Angels of Mercy failed to ensure policies, procedures, and other documents were adopted by the agency.
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The agency failed to ensure the protection of clinical records from unauthorized use for 10 of 14 clinical records reviewed, up to, and including all current 574 patient records.
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The agency failed to ensure the protection of clinical records from unauthorized use for 10 of 14 clinical records reviewed, with the potential to affect all current 574 patient records.
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