Best Health Care Services, LLC

The agency's staff failed to ensure home health services were provided according to the patient's individualized plan of care for three (3) of seven (7) clinical records that required an assessment of weight, blood glucose and/or Skilled Nurse frequency visits as ordered by the physician were…

The agency failed to ensure patients were informed about and consented to the frequency of proposed visits in advance of starting care for three (3) of seven (7) patients in the survey sample (Clinical record for Patient #'s: 1, 2 and 5).

The agency failed to document informing patients verbally and in writing regarding the financial liability for two (2) of seven (7) patients reviewed in the survey sample (Clinical records for Patient #'s: 2 and 5).

The agency failed to ensure accurate and complete medication lists were documented in two (2) of seven (7) clinical records reviewed in the survey sample (Clinical records for Patient #'s: 1 and 7).

The agency staff failed to ensure a plan of care contained specific location of a wound with wound care, specific blood sugar parameters and an IM (intramuscular injection) treatment order by the physician for four (four) of six (6) patients in the survey sample whom had a wound, blood sugar…

The agency failed to ensure the physician was notified of the patient's condition that may suggest outcomes are not being met or changes are needed in the plan of care.

The agency failed to provide a supervisory visit for a home health aide every 14 days by a Registered Nurse or other appropriate skilled professional for one (1) of one (1) patient's receiving home health aide services in the clinical records reviewed in the survey sample.

The agency failed to send the patient's discharge summary to the primary care physician or primary care practitioner within 5 business days from the date of the final visit for one (1) of two (2) closed clinical records reviewed in the survey sample.

The agency failed to ensure the patient's individualized plan of care included evidence the patient participated in goal setting and/or agreed with goals identified by the Home Health Agency for five (5) of seven (7) patients whose clinical records were reviewed in the survey sample (Clinical…

The agency failed to ensure services were provided only as ordered by a physician for one (1) of seven (7) patients whose clinical records were reviewed in the survey sample (Clinical record #1).

The agency failed to have an up to date all hazards risk assessment.

The agency failed to develop a training program related to emergency preparedness that included the following: (i) Initial training in emergency preparedness policies and procedures to all new and existing staff, individuals providing services under arrangement consistent with their expected role.

The agency failed to document conducting emergency preparedness exercises to test their emergency plan at least annually which consisted of: 1. Participated in a full-scale exercise that was community-based or when a community-based exercise was not accessible, an individual, agency-based.

The agency failed to document the patient's risk factors for emergency department visits and hospital re-admissions according to the plans of care for five (5) of five (5) medical records reviewed in the survey sample and were admitted/recertified on or after 01/13/2018 (Medical records: #2, 4, 5…

The agency failed to follow the written plan of care for one (1) of seven (7) medical records reviewed in the survey sample.

Agency staff failed to send the patient's discharge summary to the primary care physician or primary care practitioner within 5 business days from the date of the final visit for one (1) of one (1) closed medical records admitted on or after 01/13/2018 and was reviewed in the survey sample.