Bliss Home Health Care, Inc

The Agency failed to develop and maintain an emergency preparedness program, including an emergency plan, that included the required elements, that must be reviewed, and updated annually, resulting in the potential for the Agency's inability to provide safe patient care for all 55 patients…

The agency failed to develop a Quality Assessment Performance Improvement program to optimize patient outcomes and to have at least one performance improvement project this year.

The agency failed to ensure physical therapists and occupational therapists assisted the physician in evaluating the patient's level of function and helped to develop the plan of care; failed to provide Medical Social Work services; and failed to ensure the clinical record was completed and…

The Agency failed to develop and maintain an emergency preparedness program, including an emergency plan, that included the required elements, that must be reviewed, and updated annually, resulting in the potential for the Agency's inability to provide safe patient care for all 55 patients…

The Agency failed to ensure an emergency plan existed that included strategies based on a documented facility and community based risk assessment from an all hazards approach, in effort to effectively address emergency events, resulting in the potential to affect the Agency's ability to provide…

The Agency failed to implement in the Emergency Preparedness policy the use of volunteers, as appropriate, and other emergency staffing strategies, including the process and role for integration of State and Federally designated health care professionals to address surge needs during an emergency…

The Agency failed to develop and maintain a communication plan for emergency preparedness, resulting in the inability to communicate with staff and officials in the event of an actual disaster, resulting in the potential for uncoordinated care all 55 patients serviced by this Agency in the event of…

The Agency failed to develop and maintain an emergency preparedness communication plan that complied with Federal, State and local laws that included the following required subject areas (1) Names and contact information for the following: (i) Staff, (ii) Entities providing services under…

The Agency failed to provide initial training in emergency preparedness policies and procedures to all new and existing staff, including contract employees and volunteers, and failed to maintain documentation of training's, resulting in the potential for inappropriate, unprepared responses to…

The Agency failed to provide documentation for the required annual tabletop and community based full-scale exercises nor any documentation of an actual event that would qualify as a test of the emergency plan since its initiation in 2009, resulting in the potential to affect staff and all 55…

The agency failed to ensure services were provided as ordered by the physician for 2 of 7 (MR# 5, 7) records reviewed, resulting in a delay of services and the potential for poor patient outcomes.

The agency failed to ensure their Quality Assessment and Performance Improvement program was at least capable of showing measurable improvements in indicators to enhance patient outcomes, safety and quality of care in 2019, resulting in the potential for poor patient outcomes for the agency's 142…

The agency failed to develop a performance improvement project in 2019, resulting in the agency's inability to improve patient outcomes, safety, and quality of care for the agency's 142 patients admitted in the past year.

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

The agency failed to ensure 4 of 4 contracts (Contractor A, CM#1, RN#1, HHa#1) met the requirements of section 1861(w) of the Act (42 U.S.C. 1395x(w)), resulting in the potential to adversely affect the finances of all patients that received contracted services.

The agency failed to ensure that at least one qualifying service was provided directly by agency employees, resulting in the potential for all services to be provided by contracted staff.

The agency failed to ensure the patient was informed of the Administrator's name in order to receive complaints, resulting in the potential for unaddressed patient concerns for all patients serviced by this agency.

The agency failed to ensure the patient was informed in advance of the disciplines that will furnish care and the proposed visit frequency in 1 of 7 (MR#7) records reviewed, resulting in this one patient not having knowledge of the plan for treatment.

The agency failed to ensure the patient received proper written notice (Notice of Medicare Provider Non-Coverage) in advance of the agency terminating on-going care for 1 of 2 (MR#6) discharge records reviewed, resulting in this one patient not having the right to dispute the end of Medicare…

The Agency failed to ensure that the initial comprehensive assessment visit was made within 48 hours of the date of referral for 2 records (MR #2, #5), from a total of 7 records reviewed, resulting in the delay of needed care and services and the potential for decline in health status.

The agency failed to ensure the registered nurse conducted a review of the patient's medications for any potential adverse effects such as: side effects, drug interactions, and duplicate drug therapy for 1 of 7 (MR# 4) records reviewed, resulting in the potential for unrecognized adverse effects…

The agency failed to ensure the plan of care covered all pertinent diagnoses, interventions with reportable parameters, and objectively measurable goals specific to the needs of the patient for 4 (MR's #1, 2, 5, 7) records, from a total of 7 sampled records reviewed, resulting in patients not…

The agency failed to ensure the physician was notified of changes in the patient's condition in 1 of 1 record reviewed (MR#6) in which the patient had a fall with injury, from a total sample of 7 records reviewed, resulting in the potential for poor patient outcomes for this patient.

The agency failed to provide the patient and caregiver with written documentation of the name and contact information for the agency's Clinical Manager, resulting in the potential for unaddressed patient concerns for all patients serviced by this agency.

The agency failed to ensure physical therapists and occupational therapists assisted the physician in evaluating the patient's level of function and helped to develop the plan of care for 4 of 7 (MR# 4, 5, 6, 7) records reviewed, resulting in the potential for decline in physical functioning and…

The Agency failed to ensure Medical social Work services were provided for 1 (MR #3) of 2 records with Medical Social Work services ordered, from a total of 7 records review, resulting in the potential for psychological and financial decline, and unmet care needs.

The Agency failed to ensure the clinical record was completed and included detailed Physical Therapy and Skilled Nursing notes for 1 (MR #3) record with the ordered services, from a total of 7 sampled records reviewed, resulting in the potential for undocumented, unidentified health concerns, and…

The agency failed to ensure a discharge summary was completed and sent to the physician within 5 business days of the patient's discharge for 2 of 2 (MR# 6 and 7) records reviewed in which the patient was discharged from the agency, resulting in the physician not having knowledge of the patient's…