Anrex Home Care Inc

The home health agency failed to include in the emergency preparedness plan a process for cooperation and collaboration with with local, regional, State and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency situation (see tag…

The home health agency failed to ensure: all the patients medical and nursing needs were met in their place of residence (see tag G0570), the plan of care was individualized and followed by all agency staff as directed by the primary care physician (see tag G0572), the plan of care contained all…

The agency failed to ensure the quality assurance program utilized quality indicator data, including measures derived from OASIS and other relevant data, to monitor the effectiveness and safety of services and quality of care and identify opportunities for improvement (see G644); failed to focus on…

The home health agency failed to include in the emergency preparedness plan a process for cooperation and collaboration with with local, regional, State and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency situation, including…

The home health agency failed to develop individualized emergency plans for 2 out of 7 clinical records reviewed.

The home health agency failed to include in the emergency preparedness plan the procedures to inform state and local emergency preparedness officials about homebound patients in need of evacuation from their residences due to an emergency situation based on the patient's medical condition.

The home health agency failed to include in its emergency plan policies and procedures which address the use of volunteers and other staffing strategies in an emergency.

The home health agency failed to develop and maintain an emergency preparedness communication plan that included the names and contact information for the patients' physicians.

The home health agency failed to develop and maintain an emergency preparedness communication plan that included the contact information for Federal, State, regional and local emergency preparedness staff.

The home health agency failed to provide services as specified in the individualized plan of care in 4 of 7 clinical records reviewed.

The home health agency failed to ensure the Quality Assessment and Performance Improvement (QAPI) Program utilized quality indicator data to identify opportunities for improvement.

The home health agency failed to conduct performance improvement projects that reflected the scope, complexity and past performance of the agency's services and failed to document the quality improvement projects and the reasons for conducting these projects and the measured progress on these…

The home health agency failed to ensure all entries in the clinical record are complete and appropriately authenticated to include a signature and title, dated and timed in 2 of 7 clinical records reviewed.

The home health agency failed to ensure all clinical records were safeguarded against unauthorized use.

The home health agency failed to ensure written notice of the patient's rights and responsibilities were provided in a language understood by the patient in 1 of 1 clinical records with English not as the primary language, in a total sample of 7 clinical records reviewed.

The home health agency failed to ensure the patient was informed of and consented in advance to revisions in the plan of and care to include a change of the physician responsible for the plan of care in 1 of 7 clinical records reviewed.

The home health agency failed to ensure all patients were aware of and how to access the number to contact the Indiana State Department of Health (ISDH) home health hotline in 2 of 4 patients interviewed, out of a total sample of 7 clinical records reviewed.

The home health agency failed to ensure the comprehensive assessment reflected the patient's current health status in 1 of 1 clinical records receiving dialysis services (#2), in a total sample of 7 clinical records.

The home health agency failed to ensure a review of the patient's current medications to include drug interactions was conducted in 1 of 3 home visits.

The home health agency failed to ensure the plan of care was individualized and complete to include services, allergies, all medications, patient goals, supplies and equipment and frequency of wound care and location on the body where wound care is to be performed in 3 of 7 clinical records…

The home health agency failed to authenticate verbal orders with the physician's signature and date in 1 of 7 clinical records reviewed.

The home health agency failed to promptly alert the physician of changes in the patient's condition that suggest outcomes are not being achieved in 2 of 7 clinical records reviewed.

The home heath agency failed to ensure the care plan was revised to reflect current information based on the patient's updated comprehensive assessment and concerning the patient's progress toward the measurable outcomes and goals in 2 of 2 clinical records receiving physical therapy services (#3…

The agency failed to communicate to the patient and physician any revisions made to the plan of care in 1 of 7 clinical records reviewed.

The home health agency failed to coordinate care with dialysis centers in 1 of 1 clinical records with patients receiving dialysis services (#2) and in 1 of 2 clinical records with patients receiving home health aide services from another agency (#3), in a total sample of 7 clinical records…

The home health agency failed to provide a written visit schedule to include the frequency of visits by agency personnel in 1 of 4 patient interviews, out of a total of 7 clinical records reviewed.

The agency's performance improvement activities failed to focus on wounds as a high risk area.

The registered nurse failed to communicate to the physician responsible for the plan of care the differences in the medication as indicated on the plan of care in 3 of 7 clinical records reviewed.

The registered nurse failed to provide supervision oversight of and services provided by the home health aide in 1 of 2 clinical records reviewed with home health aide services ordered in a total sample of 7 clinical records.

The clinical manager failed to provide oversight of patient care services by making patient and personnel assignments.

The home health agency failed to ensure services provided by physical therapy assistants were subject to a written contract.