Apollo Medical

The home health provider failed to ensure staff followed the provider's policy when staff failed to clean their computer before placing it back into their bag in one of three home visit observations (Record/Patient #2).

The home health provider failed ensure the timeliness of documentation in five of five full records reviewed (Records/Patients #1, #2, #3, #4, and #5).

The provider failed to ensure that the correct hours of operation of the state toll free home health hotline (7:00 AM to 8:00 PM, seven days a week) were provided to the patient in one of one admission packet reviewed.

The home health provider failed to identify all the medications a patient was taking in, but not limited to, two of five records reviewed (Records/Patients #1 and #3).

The home health provider failed to ensure that the individualized plan of care (POC) contained all types of services, supplies, and equipment required for patient care in two of five full records reviewed (Records/Patients #2 and #4).

The home health provider failed to ensure physician orders were obtained for treatment in one of five full records reviewed (Record/Patient #2).

The home health provider failed to ensure nursing staff notified the physician of one patient’s change in condition (Record/Patient #2) and failed to notify the physician of missed visits in one of five full records reviewed (Record/Patient #3).

The home health provider failed to ensure the patient received a visit schedule that included what disciplines were seeing the patient and the frequency of visits in one of three home visit observations (Record/Patient #2).

The home health provider failed to ensure the patient received a medication list in one of three home visit observations (Record/Patient #2).

The home health provider failed to ensure nursing staff documented complete physical assessments to include vital signs and lung sounds for one patient (Record/Patient #2) and failed to document complete wound and pain assessments for one patient (Record/Patient #5) of five full records reviewed.

The home health provider failed to ensure staff followed the physician ordered plan of care (POC) in two of five full records reviewed (Records/Patients #2 and #3).

The agency failed to ensure staff were provided emergency preparedness training annually for three (Employee #1, #2, and #3) of three employee files reviewed.

The agency failed to ensure staff followed infection control standards of practice in one (Record/Patient #1) of three home visit observations.

The agency failed to ensure a program was in place to properly monitor visitors who entered the home health agency for symptoms of COVID-19 and failed to ensure staff were provided infection control training annually for one (Employee # 3) of three employee files reviewed.

The agency failed to update the written notice of patient rights to meet the requirements of the updated Federal home health regulations effective 11/29/2019 to include the patient has the right to be advised orally and in writing of the extent to which payment for services may be expected from…

The agency failed to update the written notice of patient rights to meet the requirements of the updated Federal home health regulations effective 11/29/2019 to include the patient has the right to be advised of the names, addresses, and telephone numbers of the Quality Improvement Organization…

The agency failed to maintain a complete/accurate medication profile in two (Record/Patient #1 and #2) of five full records reviewed.

The agency failed to ensure a complete/accurate plan of care (POC) that included all required information was completed in, but not limited to, two (Record/Patient #1 and #2) of five full records reviewed.

The agency failed to alert the physician to changes in the patient's condition or needs that may suggest that the plan of care (POC) should be altered in, but not limited to, one (Record/Patient #1) of five full records reviewed.

The agency failed to ensure staff provided a written visit schedule to patients that included what discipline was visiting, and the frequency of visits in two (Record/Patient #1 and #2) of three home visits.

The agency failed to ensure the name and contact information of the home health agency clinical manager was listed in the admission packet of information left in patient homes.

The agency failed to ensure all staff had the Employee Disqualification List (EDL) checked prior to hire and had the Family Care Safety Registry (FCSR) prior to patient contact in one (Employee #3) of three employee files reviewed.

The agency failed to ensure a comprehensive discharge summary was sent to the primary care practitioner or other health care professional who will be responsible for care to the patient after discharge within five business days of the patient's discharge in one (RECORD/PATIENT #5) of two discharge…

The agency failed to ensure that the plan of care was followed in, but not limited to, one (Record/Patient #1) of five applicable cases.

The agency failed to provide written notice of all the patient's rights and responsibilities under this rule and failed to provide the agency's discharge and transfer policies to alll patients admitted to service after January 13, 2018 when this regulation became effective.

The agency failed to provide contact information for the agency's administrator to all patients admitted to services after January 13, 2018 when this regulation became effective.

The agency failed to provide the correct hours of operation for the state home health telephone hotline in, but not limited to, one (Record/Patient #1) of five applicable cases.

The agency failed to provide names, addresses, and telephone numbers for specific federally-funded and state-funded entities that serve the area where the patient resides to all patients admitted to service after January 13, 2018 when this regulation became effective.

The agency failed to ensure the registered nurse (RN) performed an accurate review/update of all medications the patient was currently using in, but not limited to, two (Records/Patients #1 and #3) of five applicable cases.

The agency failed to ensure the plan of care was complete in, but not limited to, two (Records/Patients #1 and #3) of five applicable cases.

The agency failed to provide the name and contact information for the agency's clinical manager to all patients admitted to service after January 13, 2018 when this regulation became effective.

The agency failed to ensure patient and caregiver education was provided in, but not limited to, one (Record/Patient #2) of four applicable cases.

The agency failed to ensure that nursing services were provided under the supervision of a registered nurse (RN) in one (Record/Patient #2) of two applicable cases.

The agency failed to complete or send a transfer summary in one of one (Record/Patient #3) of one transfer record reviewed.