Capital Region Home Health
Inspection 2023-04-20
· Focused Infection Control, Recertification · 8 deficiencies · CMS source report (PDF)The home health provider failed to ensure staff followed an individualized plan of care that specified the care and services necessary to meet the patient-specific needs for one of five full records reviewed (Record/Patient #1).
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The provider failed to update the written notice of patient rights to include: - Rights and responsibilities that are understandable to persons who have limited English proficiency; and - Rights and responsibilities accessible to individuals with disabilities.
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The provider failed to provide written notice of the updated state toll-free hotline hours of operation (7:00 AM to 8:00 PM, seven days a week), in three of three home visit record reviews and two of those three home visit observations (Records/Patients #1, #2, and #3).
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The home health provider failed to ensure a complete and accurate list of all the medications that the patient was currently using in three of three home visit observations (Records/Patients #1, #2, and #3).
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The home health provider failed to ensure that each patient’s written individualized plan of care included all required elements in two of five full records reviewed (Records/Patients #1 and #2).
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The provider failed to provide the patient/caregiver with an updated/current copy of written instructions outlining the patient’s medication schedule, including medication name, dosage, and frequency in one of three home visit observations performed (Record/Patient #3).
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The home health provider failed to provide in writing the name and contact information of the clinical manager in, but not limited to, two of three home visit observations (Record/Patient #1 and #3).
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The home health provider failed to ensure staff communicated with all physicians or other health care practitioners related to the patient’s current plan of care for one of six full records reviewed (Record/Patient #2).
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