Butler County Phns

The agency failed to ensure training in emergency preparedness to all existing contracted staff consistent with their expected roles at the time of orientation for 1 of 3 sampled contracted staff (Staff C, Occupational Therapist).

The agency failed to accurately encode Outcome and Assessment Information Set (OASIS) data items collected with each comprehensive assessment accurately to reflect the patient's status at the time of assessment for 1 of 7 sampled patients (Patient #5).

The agency failed to maintain documentation that 1 of 1 sampled home health aide (Staff C), employed for more than 1 year, completed a minimum of 12 hours of in- service educational training annually.

The agency failed to ensure the registered nurse (RN) developed home health aide (HHA) instructions for patient care that were specific and individualized to the patient's needs for 1 of 4 sampled patient receiving HHA services (Patient #1).

The agency failed to ensure accurate completion of all pertinent components of the start of care comprehensive assessment within the regulated time frame for 1 of 7 sampled patients.

The agency failed to provide a complete comprehensive assessment for patients with wounds for 3 of 3 sampled patients (Patients #2, #3 and #6).

The agency failed to complete an accurate drug regimen review (DRR) with comprehensive discharge assessments for 2 of 2 sampled patients (Patients #6 and #7).

The agency failed to ensure accurate completion of all components comprising the Plan of Care (POC), including all medications used by the patient for 1 of 3 sampled patients with home observation visits (Patient #1).

The agency failed to ensure a registered nurse (RN) or other appropriate health care professional completed home health aide (HHA) supervision at least every 14 days for 1 of 3 sampled patients with HHA services longer than 14 days (Patient #6).

The agency failed to ensure the development of a policy and procedure to inform State and local officials of homebound patients in need of evacuation due to an emergency situation.

The agency failed to provide services only as ordered by the physician for 1 of 7 sampled patients (Patient #2).

The facility failed to obtain orders for a medication and for a procedure for 1 of 1 patient reviewed (Patient #1).

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician and/or as directed by the skilled professional assigning the home health aide to the patient for 3 of 4 sampled patients receiving home health aide services (Patients #2, #4 and #7) and a…

The home health agency failed to ensure the clinical record included a copy of an individualized emergency plan developed as part of the comprehensive assessment and/or failed to ensure each patient received a copy of the individualized emergency plan to keep in the home for 7 of 7 sampled patients…

The agency failed to complete a written emergency preparedness plan that included procedures to inform State and local officials of any on duty staff and patients they are unable to contact in the event of an interruption of services related to an emergency.

The agency failed to maintain an emergency preparedness training program for staff consistent with their expected roles at the time of orientation and at least every 2 years thereafter or when significant changes are made to the Plan.

The agency failed to ensure training in emergency preparedness to all existing staff consistent with their expected roles at the time of orientation for 4 of 4 sampled directly hired employees (Staff D, E, F and G) and 1 of 1 sampled contracted staff (Staff H).

The agency failed to accurately answer Outcome and Assessment Information Set (OASIS) data questions as part of the when completing the initial comprehensive assessments at the time of start of care for 5 of 6 sampled patients with start of care dates after the agency's last recertification survey…

The agency failed to accurately complete a drug regimen review, including completion of all required components within the required time frames as part of the comprehensive assessment for 3 of 7 sampled patients(Patients #1, #2 and #4).

The agency failed to update the Plan of Care with all new physician orders in a timely manner for 6 of 6 sampled patients with interim/verbal orders.

The agency failed to ensure skilled professional staff involved in the patient's plan of care completed an ongoing interdisciplinary wound assessment as required by agency policy and expectation for 1 of 1 sampled patients with wounds (Patient #1).