Anova Home Healthcare Services Inc

The agency failed to ensure staff followed accepted standard of practice, including the use of standard precautions during patient care, for one (1) of five (5) staff observed during home visits (EMP8).

Agency documentation and interview with staff (EMP) agency failed to have QAPI program maintain a coordinated agency-wide program for the surveillance, identification, prevention, control, and investigation of infectious and communicable diseases that is an integral part of the HHA's quality…

The agency failed to ensure the patient participated in care, and was informed in advance with respect to any changes in the care to be furnished (G0434), failed to provide proper advance written notice prior to terminating on-going care (G0442), and failed to arrange a safe and appropriate…

The agency failed to meet the patient's medical, and nursing needs in his or her place of residence (G0570), the agency failed to furnish services in accordance with acceptable standards of practice (G0590), failed to alert the physician(s) to any changes in the patient's condition that suggest…

The agency failed to ensure the patient participated in care, and was informed in advance with respect to any changes in the care to be furnished for one (1) of one (1) clinical record reviewed who was discharged and transferred to an inpatient unit on the same day (CR1).

(5)Financial liability for failure to deliver valid notice.

The agency failed to arrange a safe and appropriate transfer to other care entities when the needs of the patient exceeded the Home Health Agency's (HHA's) capabilities for one (1) of one (1) clinical record reviewed who was discharged and transferred to an inpatient unit on the same day (CR1).

The agency failed to promptly alert the physician(s) to any changes in the patient's condition that suggest the plan of care should be altered for one (1) of one (1) clinical record reviewed who was discharged and transferred to an inpatient unit on the same day (CR1).

The agency failed to ensure revisions to the plan of care were communicated with all physicians involved in the patient's plan of care for one (1) of one (1) clinical record reviewed who was discharged and transferred to an inpatient unit on the same day (CR1).

The agency failed to ensure revisions to the plan of care related to discharge were communicated to the patient for one (1) of one (1) clinical record reviewed who was discharged and transferred to an inpatient unit on the same day (CR1).

The agency failed to integrate orders into the plan of care from all physicians involved in the plan of care for one (1) of one (1) clinical record reviewed who was discharged and transferred to an inpatient unit on the same day (CR1).

The licensed practical nurse (LPN) failed to all communicate with all physicians concerning the patient's plan of care for one (1) of one (1) clinical record reviewed who was discharged and transferred to an inpatient unit on the same day (CR1).

The agency failed to ensure the clinical record contained physician orders for one (1) of one (1) clinical record reviewed who was discharged and transferred to an inpatient unit on the same day (CR1).