Apex Home Healthcare, Inc

The agency failed to develop and maintain an emergency preparedness program that included the required elements that must be reviewed and updated at least every 2 years, resulting in the potential to affect the Agency's ability to provide safe patient care in the event of an actual emergency.

The agency failed to develop and maintain an emergency preparedness training and testing program for staff based on the agency's emergency plan, resulting in agency personnel not being educated in actions to take in the event of an actual disaster.

The agency failed to ensure staff followed accepted standards of infection control for 1 (Staff E) of 3 staff observed during home visits, resulting in the potential for an increased risk for spread of infection to all patients receiving services from this agency.

The agency failed to provide initial infection control education for 2 (Staff D and Staff F) of 2 staff hired since the last survey in 2023; and failed to provide annual infection control education for 6 (Staff A, Staff B, Staff C, Staff D, Staff E, and Staff H) of 6 staff reviewed, resulting in…

Skilled nursing failed to include safety measures on the aide's care plan in 1 (P-5) of 3 records reviewed in which Home Health Aide services were provided, resulting in the potential for injuries and the provision of unsafe care during aide services.

The agency failed to inform the patient in advance of the disciplines that will furnish care in 3 (P-1, P-2, and P-7) of 7 patients reviewed, resulting in the patient not having knowledge of the plan for treatment and the potential for unmet care needs.

The agency failed to ensure the comprehensive assessment accurately reflected the patient’s current health status in 4 (P-2, P-3, P-6 and P-7) of 7 patients reviewed, resulting in the potential for unmet care needs.

The agency failed to ensure the patient’s clinical record documented all medications with a completed reconciliation for 3 (P-2, P-3 and P-6) of 7 patients reviewed, resulting in the potential for unrecognized medication side effects and complications.

The agency failed to conduct a Resumption of Care (ROC) assessment within 48 hours of the patients discharge from a hospital in 1(P-5) of 3 records reviewed in which the patient was transferred to and discharged from a hospital stay, resulting in the potential for unidentified health concerns and…

The agency failed to ensure the plan of care included all required elements for 1 (P-7) of 7 patients reviewed, resulting in the potential for unmet care needs and poor patient outcomes.

The agency failed to ensure services were administered only as ordered by the physician in 2 (P-2 and P-4) of 7 patients reviewed, resulting in the potential for unauthorized delivery of services.

The agency failed to promptly notify the Physician of a change in patient condition for 1 (P-2) of 7 records reviewed, resulting in a potential poor clinical outcome.

The agency failed to ensure services were provided as ordered in the plan of care in 5 (P-1, P-2, P-3, P-4, and P-7) of 7 patients reviewed, resulting in the potential for unmet care needs.

The agency failed to ensure the patient and caregiver were provided wound care teaching/instructions for 2 (P-2 and P-7) of 7 patients reviewed, resulting in the potential for improper wound care and unmet care needs.

The agency failed to ensure home health aide supervision was completed for 1 (P-7) of 3 patients reviewed who received home health aide services, resulting in the potential for unmet care needs and poor patient outcomes.

The agency failed to ensure clinical notes were accurate for 1 (P-1) of 7 records reviewed, resulting in the potential to negatively affect the health and well-being of these patients.

The agency failed to ensure a transfer summary was sent within 2 business days of being made aware of an unplanned transfer in 3 (P-4, P-5 and P-7) of 3 patients reviewed who were transferred, resulting in the potential for poor continuity of care and poor patient outcomes.

The agency failed to ensure that the registered nurse provided the home health aide with an updated aide care plan regarding specific client needs and safety precautions in 1 of 4 records reviewed (MR #3) for those patients receiving home health aide services, resulting in the potential for unsafe…

The agency failed to advise patients of the names, addresses and telephone numbers of Federally funded and State funded entities that serve the areas where the patients reside for 1 of 1 (MR# 2) joint surveyor home visits with the registered nurse, resulting in a lack of information regarding…

The agency failed to ensure that a registered nurse or physical therapist completed the initial assessment of the patient within 48 hours of referral, discharge from facility or per physician start date orders in 1 of 7 records reviewed (MR #4) resulting in a delay in determining the immediate care…

The agency failed to ensure that patient goals were specific and measurable in the patient's plan of care and that the patient's progress towards achieving these goals was documented in 2 of 7 records reviewed (MR #3, #4), resulting in an inability to accurately assess patient's status and need for…

The agency failed to ensure a transfer summary was sent to the receiving facility within 2 business days of becoming aware of an unplanned transfer for 2 of 2 (MR# 4, 7) records reviewed with transfers, resulting in a lack of information to ensure continuity of care for these 2 patients.