Around the Clock Home Care

The agency failed to provide education to one of seven sampled patients (Patient 1) regarding environmental factors regarding infection prevention according to the plan of care.

The agency failed to follow its policy and procedure (P&P) on "Competency Program" and "Performance Evaluation" for one of one sampled Social Worker (SW 1) when annual competencies and performance evaluations were not completed annually.

The agency failed to ensure its policies and procedures on abuse prevention and patient complaints indicated the requirement to suspend staff accused of abuse while the complaint is being investigated.

The agency failed to follow its policy and procedure to develop an individualized plan of care for one of 17 sampled patients (Patient 6) when there were no plan of care addressing Patient 6’s environmental issues and non-compliance with care.

The agency failed to follow infection control practices during the licensed nurse home visit for one of 17 sampled patients (Patient 9) when the biohazardous waste (infectious waste such as blood and body fluids) was not disposed in a safe and appropriate manner.

The agency failed to ensure rehabilitation services (Physical Therapy [PT] and Occupational Therapy [OT]) were provided in a timely manner after the start of care (SOC) as indicated in the authorization notification form for one of 17 sampled patients (Patient 10).

The agency failed to ensure medication reconciliation was completed during licensed nurses' home visits for two of 17 sampled patients (Patient 7 and Patient 11).

The agency failed to ensure an environmental cleanliness/hazard education was performed during a home visit for one of 17 sampled patients (Patient 6).

The agency failed to ensure the clinical records of four of 17 sampled patients (Patient 6, Patient 8, Patient 13 and Patient 14) were accurate when the referral dates recorded were more than 48 hours before the start of care date.

The agency failed to ensure supervisory visit was conducted by a Registered Nurse (RN) every two (2) weeks to monitor the services of a Certified Home Health Aide (CHHA) for one of 17 sampled patients (Patient 5).

The agency failed to follow the written plan of care (POC) for one of 17 sampled patients (Patient 2).

The Agency failed to follow the written plan of care (POC) for one of 17 sampled patients (Patient 1).

The Agency failed to implement infection control practices.

The agency failed to ensure home visits preference were honored for one of 17 sampled patients (Patient 1).

The agency failed to: 1. Accurately update the medication profile and identify all medications taken by three of 17 sampled patients (Patient 4, Patient 5, and Patient 3); 2. Ensure a nurse reviewed the medication regimen upon admit for one of 17 sampled patients (Patient 15).

The Agency failed to develop a policy and procedure to ensure patients were assessed for their Influenza (flu) and Pneumonia (pneumo) vaccines status, and were offered the vaccines when needed for five of five sampled patients (Patient 1, Patient 9, Patient 11, Patient 13, and Patient 16).