Beneficial Home Health Services, Inc
Inspection 2023-10-31
· Recertification · 17 deficiencies · CMS source report (PDF)The HHA failed to ensure the emergency preparedness P&P included the procedures to inform State and local emergency preparedness officials about homebound hospice patients in need of evacuation from their residences at any time due to an emergency situation based on the patient's psychiatric…
Show inspector's text
Loading…
The HHA failed to ensure the initial training in the emergency preparedness program for all new and existing staff, individuals providing services under arrangement and volunteers consistent with their expected role, maintain documentation of all emergency preparedness training, demonstrate staff…
Show inspector's text
Loading…
The HHA failed to ensure the care and services were provided as ordered for six of nine sampled patients (Patients 2, 4, 6, 7, 8, and 9), creating the risk of not providing appropriate, consistent, and quality of care to these patients.
Show inspector's text
Loading…
The HHA failed to ensure the CLIA waiver certificate was current when conducting the blood glucose testing for two of nine sampled resident (Patients 2 and 8) creating the risk of not meeting the regulatory standards related to laboratory testing.
Show inspector's text
Loading…
The HHA failed to ensure the entries on the clinical record included the credential of the staff who completed the documents for three of nine sampled patients (Patients 1, 2, and 5), creating the risk of not having the complete and accurate information.
Show inspector's text
Loading…
The HHA failed to ensure the RN conducted the initial assessment visit within 48 hours of the referral for one of nine sampled patients (Patient 1), creating the risk of not identifying and addressing the care needs in a timely manner for this patient.
Show inspector's text
Loading…
The HHA failed to ensure the initial comprehensive assessments were completed accurately and consistently with the patients’ immediate needs for eight of nine sampled patients (Patients 1, 3, 4, 5, 6, 7, 8, and 9).
Show inspector's text
Loading…
The HHA failed to ensure the medication profiles were updated to reflect the current medications, include all the medication side effects, actual or potential drug interactions, and duplicate drug therapy for six of nine sampled patients (Patients 2, 3, 5, 6, 7, and 8).
Show inspector's text
Loading…
The HHA failed to ensure the updated comprehensive assessments were completed accurately and consistently with the patients’ immediate needs for six of nine sampled patients (Patients 2, 4, 6, 7, 8, and 9).
Show inspector's text
Loading…
The HHA failed to ensure the POCs included pertinent information for three of the nine sampled patients (Patients 2, 3, and 8) creating the risk of not addressing the care needs of these patients.
Show inspector's text
Loading…
The HHA failed to ensure effective coordination of care and services for one of nine sampled patients (Patient 6), creating the risk of not providing necessary care and services to this patient.
Show inspector's text
Loading…
The HHA failed to provide the written instructions on the SN visit schedule for two of nine sampled patients (Patients 5 and 6), creating the risk of not providing the necessary information to these patients.
Show inspector's text
Loading…
The HHA failed to ensure the SN provided care and services in accordance with the POC for three of nine sampled patients (Patients 5, 7, and 9), creating the risk of not providing appropriate, consistent, and quality care to these patients.
Show inspector's text
Loading…
The agency failed to ensure the agency's skilled staff prepared accurate and complete clinical notes for five of nine sampled patients (Patients 1, 2, 6, 7, and 8).
Show inspector's text
Loading…
The CHHA failed to follow the plan of care for one of the nine sampled patients (Patient 7), creating the risk of not providing necessary care and services to this patient.
Show inspector's text
Loading…
The HHA failed to ensure the responsibility for the day-to-day operations by not implementing the agency's P&P as evidenced by: * The agency failed to ensure the written agreements for one of the two contractors (Contractor 1) included the required elements in the contracts as per Title 22. * The…
Show inspector's text
Loading…
The HHA failed to send the discharge and transfer summaries for two of nine sampled patients (Patients 8 and 9) to their primary care physicians.
Show inspector's text
Loading…