Bethesda Home Health

The agency failed to develop a plan specific to the home care agency and the electronic medical record system implemented by the agency.

The agency failed to include volunteer staffing guidelines with the Emergency Preparedness plan for the agency.

The agency failed to develop a plan to maintain communication with both staff, and the people who are served by the agency, in the event of disrupted communication with the telephone system.

The agency failed to develop an inclusive listing of names and contact information for internal critical contacts for Bethesda Home Health Care.

The agency failed to develop a plan for alternate communication with both staff, and the people who are served by the agency, in the event of disrupted communication related to telephone or cellular services, or power outage.

The agency failed to ensure medication set up was completed as ordered for 1 of 1 patient (P4) observed with medication set up.

The agency failed to show tracking and trending of quality indicators that could improve health outcomes with the Quality Assessment Performance Improvement (QAPI) program.

The agency’s Quality Assessment Performance Improvement (QAPI) committee failed to track and analyze patient concerns and events.

The agency’s Quality Assessment Performance Improvement (QAPI) committee failed to identify performance improvement projects with the potential to improve quality of care.

The agency failed to follow infection control practices for 2 of 3 patients (P2 and P3) observed home health visits to prevent the transmission of infections and communicable diseases.

The agency failed to conduct a thorough investigation in response to an alleged misappropriation of patient's money for 1 of 1 patients (P8) reviewed.

The agency failed to ensure medication regimen review, and reconciliation of medications, was completed to ensure medications identified on the plan of care (POC) were available and were set up as ordered by physician, for 1 of 1 patient (P4) observed with a home visit for medication set up.

The agency failed to include all necessary components within the Home Health Certification and Plan of Care (POC) to reflect a comprehensive plan of care based on patient assessment, which included patient diagnosis, risk of emergency room visits/hospitalization, supplies and equipment required for…

The agency failed to include all patient care orders in the plan of care for 1 of 11 patients reviewed for comprehensive plan of care.

The agency failed to assure orders received verbally via a phone call from the provider were documented in the patient's clinical record, and subsequently implemented, for 1 of 1 patient (P4) observed for medication set up.

The agency failed to notify the provider when services required by plan of care were not performed for 3 of 8 patients reviewed for missed services.

The agency failed to include the medical director in the agency’s Quality Assessment Performance Improvement (QAPI) program.

The agency failed to ensure the home health aide followed the plan of care and provided only services for which they are trained for 1 of 11 (P3) patients reviewed for following the plan of care.

The agency failed to provide skilled professional nursing services including evaluation of cardiac status, assessment of activity tolerance, determination of medication management needs, observation of knowledge and compliance, medication education, and completion of lab work as ordered by the…

The facility failed to investigate a complaint related to care of a catheter for 1 of 1 clients (P11) who received skilled services from the agency.

The agency failed to thoroughly investigate an allegation of misappropriation of property for 1 of 1 clients (P10) who reported the home health aide (HHA) stole $120.00. Findings include: P10's plan of care (POC) certification period 3/30/21 to 5/29/21, indicated diagnosis of essential hypertension…

The agency failed to report an allegation of misappropriation of property for 1 of 1 client (P10) whom reported the home health aide stole $120.00. Findings include: P10's plan of care (POC) certification period dated 3/30/21 to 5/29/21, indicated diagnosis of essential hypertension (high blood…

The agency failed to complete a full drug regimen review for 2 of 3 clients (P4 and P5).

The agency failed to ensure the plan of care (POC) included all required components for treatment orders required for 1 of 1 residents (P11) who received skilled services for catheterization (A process which urine is drained from the bladder with a sterile tube).

P8's first supervisory visit was not completed until 7/8/21, which would have been 16 days after initiation of HHA services.

The home health agency failed to ensure home health aide visits were provided according to the plan of care (POC) for 1 of 1 patients (P11) who required home health aide services.