Assured Home Health

The Home Health Agency (HHA) failed to ensure two of ten sampled patients (Patients 6 and 10) received home health services in accordance with their Physician‑ordered plan of care (POC) when: 1. Patient 6 missed one Physical Therapy visit and two Medical Social Worker (MSW) visits as ordered on the…

The facility failed to remove remove expired patient care supplies from inventory in one out of two storage rooms.

The facility did not attempt to resolve identified issues before discharging one out of 10 sampled patients (Patient 9) when the home environment was potentially unsafe for the Home Health Agency’s (HHA) staff.

The Home Health Agency (HHA) failed to ensure one out of 10 sampled patients (Patient 4) received a comprehensive assessment from the Physical Therapist within five days.

The agency failed to ensure that a complete review of all current medications occurred during every home visit for three of four patients (Patients 2, 3 and 4) when: 1 Patient 2's Lasix (a medication that assists a patient to urinate excess body fluids that can also cause dehydration and low blood…

The Home Health Agency (HHA) failed to ensure three of ten sampled patients (Patients 1, 5, and 7) had complete and individualized plans of care (POC, which also served as the physician’s orders) that were developed in accordance with their specific needs when: 1a.

The facility failed to ensure that Skilled Nursing home visits provided had a Physician’s order for one out of 10 sampled patients (Patient 1) when a visit occurred prior to the order was obtained.

The Home Health Agency (HHA) failed to follow its Quality Assessment and Performance Improvement (QAPI) policy and procedure (P&P) when the HHA did not maintain documentation showing that it implemented the performance improvement actions it identified.

The agency failed to coordinate referrals for one of ten sampled patients (Patient 3) when the physician's order for a consult with a registered dietician (RD) was not acted upon.

The agency failed to ensure that all branch personnel training requirements were met for one of ten reviewed employees when documentation to indicate the agency's Medical Social Worker (MSW) had completed mandated reporter training was not in his employee file.

The agency failed to ensure infection control measures were implemented for two of nine patients, (Patient 7, and 9) when: 1-Patient 7 was admitted to home health services with a highly transmissible infection and no education was provided to the patient or multiple care givers in the home. 2-An…

The agency failed to have an effective governing body (GB) legally responsible for establishing and implementing management and operational policies to ensure effective administration of the agency to provide care and services within acceptable standards of practice when the agency failed to…

The facility failed to complete an initial assessment within 48 hours after the physician ordered home health services for four of nine patients, (Patient 1, 6, 7, and 8).

The facility failed to ensure that two of nine sampled patients (Patient 7 and 8) had an updated medication profile.

The agency failed to complete a resumption of care within 48 hours after returning home from the hospital for one of nine Patients, (Patient 6).

The agency failed to promptly alert one of nine sampled patients’ physician when she had a change of condition.

The agency failed to educate five of nine sampled patients (Patient 1, 2, 6, 7, and 9) and care givers to follow the plan of care (physician orders), to manage disease processes and medications to achieve optimum quality of life while living at home.

The agency did not ensure that they followed two of nine sampled patients (Patient 1 and 6) plan of cares (physician's orders), when the facility did not notify the physician when there was a change to the patient's plan of care.

The agency failed to assure one of nine sampled patients needs were continually assessed.

The agency failed to assure the development, implementation, and updates of the plans of care (physician's orders) for one of nine sampled patients (Patients 4) when the plan of care was not signed and returned by the physician within thirty (30) working days as required by State law.

The home health hotline information given to patients was incorrect.

The agency failed to ensure medication lists were updated for 2 of 12 sampled patients (Patient 3 and Patient 10).

The agency failed to notify the physician when 1 of 12 sampled patients (Patient 1) had a change of condition.