B & B Interim Healthcare Services Inc

The clinical manager failed to provide oversight of all patient care services and personnel.

The agency failed to ensure all entries in the clinical record were complete and accurate in 4 of 4 clinical records reviewed.

The agency failed to investigate complaints made by the patient's caregiver/family related to care that failed to be furnished in 2 of 2 closed clinical records reviewed.

The agency failed to document the existence of a complaint and the resolution of the complaint in 2 of 2 closed clinical records reviewed.

The home health aide failed to complete appropriate records in compliance with the agency's policies and procedures in 4 of 4 clinical records reviewed.

The administrator failed to ensure the day to day operations of the home health agency.

The administrator failed to ensure the clinical manager was available during all operating hours.

The agency failed to develop and implement emergency preparedness policies and procedures which addressed staffing strategies during an emergency.

The home health agency failed to ensure all employees practiced standard/universal precautions in 2 of 2 home visits observed (#1, #2) to properly safeguard against potential transmission of COVID-19. The findings include: 1. Record review of an agency policy dated 6/24/11 titled "Engineering…

The home health agency failed to maintain a program for identification, prevention, control and investigation of infectious and communicable diseases to include written standards, policies and procedures that are current and based on national standards for undiagnosed respiratory illness and…

The home health agency failed to ensure patient needs were met per the plan of care in 4 of 8 clinical records reviewed.

The home health agency failed to ensure the patients had the most current plan of care in the patient's home folder in 2 of 3 home visits conducted.

The home health agency failed to conduct performance improvement projects in 1 of 1 home health agency.

The home health agency failed to ensure all employees practiced standard/universal precautions in 1 of 3 home visits observed.

The home health agency failed to maintain a program for identification, prevention, control and investigation of infectious and communicable diseases specific to care and services provided in the home setting in 1 of 1 home health agency.

The home health aide failed to ensure tasks on the registered nurse developed aide care plan were followed in 4 of 8 clinical records reviewed.

The home health agency failed to ensure the patient was informed of and consented to in advance the changes in the care and services that were being furnished in 1 of 8 clinical records reviewed.

The home health agency failed to ensure the comprehensive assessment accurately reflected the patient's current health status in 2 of 8 clinical records reviewed.

The home health agency failed to ensure the patient's current medications were reviewed to identify potential adverse effects and drug reactions in 2 of 3 home visits conducted.

The home health agency failed to update the comprehensive assessment during the last 5 days of every 60 days beginning with the start-of-care date in 2 of 8 clinical records reviewed.

The home health agency failed to ensure the plan of care was individualized and complete to include all dme [durable medical equipment]/ supplies, medications including indications for use for medications taken as needed and route of medications to be taken, safety precautions, and nutritional…

The home care agency failed to ensure the physician responsible for the home health plan of care reviewed and revised the plan of care no less than every 60 days in 1 of 8 clinical records reviewed.

The home health agency failed to coordinate care amongst the different entities that provided care to the patient to assure identification of patient needs and factors that could affect patient safety and treatment effectiveness in 2 of 8 clinical records reviewed.

The home health agency failed to provide written instructions to the patient outlining the name and contact information of the agency's clinical manager in 1 of 3 home visits.

The home health agency failed to ensure the QAPI program focused on high risk or problem-prone areas in 1 of 1 home health agency.

The home health aide failed to ensure the case manager was notified of changes in patient conditions in 3 of 8 clinical records reviewed.

The home health agency failed to provide supervision of the home health aide to ensure the patient was receiving needed personal care as directed in the home health aide care plan in 3 of 8 clinical records reviewed.

The home health agency's administration failed to be responsible for the management of the day-to-day operations of the home health agency's after hours on-call services in 1 of 1 home health agency.