Avanti Home Health Care

The Agency failed to develop an emergency preparedness plan that had been reviewed and updated at least every 2 years, resulting in lack of updated direction for Agency personnel in the event of an actual emergency or disaster.

The home health agency failed to develop a Quality Assessment and Performance Improvement (QAPI) policy and program, (G-642); the agency failed to collect and monitor data for the Quality Assessment and Performance Improvement (QAPI) program, (G-644); failed to document the quality improvement…

The agency failed to ensure standard precautions were used to prevent the spread of infections and communicable diseases for 1 of 3 (P-3) joint surveyor home visits (see G682); failed to coordinate an agency-wide program for the surveillance, identification, prevention, control, and investigation…

The Agency failed to develop an emergency preparedness plan that had been reviewed and updated at least every 2 years, resulting in lack of updated direction for Agency personnel in the event of an actual emergency or disaster.

The Agency failed to ensure an emergency plan existed that was based on a documented facility and community-based risk assessment from an all-hazards approach, resulting in the potential for lack of preparedness and poor patient and staff outcomes, in the event of an actual emergency.

The agency failed to ensure its Emergency Preparedness policies and procedures were reviewed and updated at least every 2 years, resulting in the potential for poor patient outcomes during a disaster if staff are ill-prepared.

The facility failed to develop and maintain an emergency preparedness communication plan that included contact information for all current staff, patient's physicians, and volunteers, as appropriate, which had the potential to negatively affect the health and safety of all patients currently…

The Agency failed to provide initial and ongoing training in emergency preparedness policies and procedures to all new and existing staff, including contract employees and volunteers, as appropriate, and failed to maintain documentation of trainings, resulting in the potential for inappropriate…

The Agency failed to provide documentation for the required community/facility based full-scale exercises and failed to provide documentation of an actual event that would qualify as a test of the emergency plan, resulting in staff being ill-prepared in the event of an actual emergency.

The agency failed to develop, implement, and maintain a quality assessment and performance improvement program which had the potential to negatively affect all 8 active patients, resulting in a potential for poor patient outcomes due to the provision of substandard care.

The agency failed to collect and use data to monitor the effectiveness, safety of services and quality of care and identify opportunities for improvement by the quality assessment and performance improvement program, which had the potential to negatively affect all patients serviced by the agency…

The Agency failed to develop a Quality Assessment Performance Improvement program that documented the annual quality improvement projects, the reasons for conducting these projects with measurable progress achieved on these projects for the 2022, 2023 and 2024 calendar years, resulting in the…

The agency failed to follow accepted standards of practice for infection control in 1 (P-3) of 3 records reviewed with home visits, resulting in the potential for transmission of infections and communicable disease.

The agency failed to coordinate an agency-wide program for the surveillance, identification, prevention, control, and investigation of infections and communicable diseases as a part of their Quality Assessment Performance Improvement program, resulting in the potential development and spread of…

The Agency failed to ensure the Registered Nurse (RN) prepared complete written instructions for patient safety needs in 1 (P-3) of 1 record in which aide services were provided, resulting in the potential for unsafe, substandard care and unmet care needs.

The agency failed to ensure that 4 (P-4, 5, 6, 7) of 7 records reviewed were included in their overall planning of care including informing the patient/caregiver in advance of which services would be provided and disciplines that will furnish care, resulting in a lack of inclusion in planning, lack…

The agency failed to ensure the plan of care included interventions specific to the individualized needs of the patient in 7 records (P-1, 2, 3, 4, 5, 6, 7) resulting in the potential for poor patient outcomes and unmet care needs.

The agency had failed to promptly notify the physician concerning pain outside of vital sign parameters for 2 (P-1, 7) of 7 records resulting in a potential poor clinical outcome.

The agency failed to ensure that skilled services were administered in accordance with the physician's orders and the Plan of Care in 3 (P-3, 4, 6) of 7 records reviewed, resulting in the potential for decline in physical functioning, unidentified health concerns and unmet care needs.

The agency failed to ensure clinical notes were accurate for 3 (P-2, 3, 7) of 7 records reviewed, resulting in the potential to negatively affect the health and well-being of these patients.

The Agency failed to ensure a discharge summary was completed, provided the patient's current health status at the time of discharge, progress toward goals in 3 (P-4, 5, 6) of 3 closed records, resulting in the potential for unidentified continuing health care concerns and unmet care needs.