At Home Senior Care Services LLC

The home health agency failed to operate and furnish services in compliance with all applicable federal and state laws by failing to evidence a current home health agency license filed with the state licensing authority (see G 860).

The home health agency failed to ensure all employees followed agency infection control policies and procedures and standard precautions for 3 of 3 home visit observations (#1, 2, 4).

The home health agency failed to evidence a current home health agency license filed with the state licensing authority, which had the potential to affect all agency patients and employees.

The agency failed to ensure the skilled nurse [SN] updated the comprehensive assessment when the patient's condition improved in 1 of 2 patients receiving SN services in a sample of 7 records reviewed.

The agency failed to ensure the skilled nurse [SN] followed the visit durations on the plan of care [POC] in 2 of 2 patients receiving skilled care in a sample of 7. (#2, 3)and failed to ensure the home health aide [HHA] failed to follow visit frequencies and duration of visits for 3 of 6 patients…

The agency failed to ensure the patient received care and services as ordered per the plan of care for 1 of 2 discharged patients in a sample of 7 records reviewed.

The plan of care [POC] failed to include patient-specific interventions or measurable goals for 1 of 2 discharged patients and 3 of 5 active patients in a sample of 7 records reviewed.

The skilled nurse [SN] failed to communicate with the physician and obtain an order for a change in service frequencies for 1 of 2 patients receiving SN services in a sample of 7 records reviewed.

The skilled nurse [SN] failed to document the need for increased visit hours in 1 of 2 skilled nursing patients from a sample of 7 records reviewed.

The agency failed to only assign the home health aide to hands-on personal care duties and no transportation or errands under the Medicaid PA (prior authorization) for 1 of 6 patients receiving HHA services in a sample of 7 records reviewed.