At Home Nursing Care, LLC

The home health agency (HHA) failed to implement, maintain and document an emergency preparedness (EP) program.

The home health agency (HHA) failed to meet their patients medical, nursing, rehabilitative and/or social needs.

The home health agency (HHA) failed to maintain a home health-wide data-driven quality assessment and performance improvement (QAPI) program.

The home health agency (HHA) failed to implement, maintain and document an infection prevention and control program.

The home health agency (HHA) failed to provide necessary oversight and supervision of the HHA.

The home health agency (HHA) failed to ensure that patient clinical records contained pertinent past and current findings in accordance with accepted professional standards.

The agency did not develop an individualized plan of care that identified patient-specific measurable outcomes and goals for 7 of 7 sampled patients.

The agency did not have a functioning governing body that assumed full legal authority and responsibility for the agency's overall management and operations, the provision of all home health services, fiscal operations, review of the agency's budget and its operational plans, and its quality…

The agency did not have a qualified individual to provide oversight of all patient cares services and personnel.

The agency did not have an overall financial plan and budget that was prepared, reviewed and updated annually under the direction of the governing body.

The home health agency did not maintain clinical records which contained pertinent past and current findings in accordance with accepted professional standards.

The agency did not safeguard patient clinical records against loss for 2 of 7 sample patients.

The agency did not ensure that care plans included all of the required elements for 7 of 7 sampled patients.

The agency did not include all patient care orders in the plan of care for 2 of 7 patients.

The agency did not ensure that all drugs, services, and treatments were administered only as ordered by a physician for 2 of 7 patients.

The home health agency (HHA) did not provide patients with required information.

The agency administrator was not appointed by and reported to the governing body.

The agency did not have a qualified pre-designated person to assume the same responsibilities and obligations as the administrator in the event of the administrators absence.

The home health agency (HHA) did not ensure discharge summaries were completed for every patient.