Care One Home Health Inc

The agency failed to have complete termination summaries in 2 out of 2 Sampled Patients (SP) who had been discharged.

The home health agency failed to provide Skilled nursing services and at least one other therapeutic service (physical therapy, speech-language pathology, or occupational therapy; medical social services; or home health aide services) are made available on a visiting basis.

The provider failed to ensure that the Registered Nurse (RN) conducted a supervisory visit of the Home Health Aide (HHA) while the HHA is providing patient care, no less frequently than every 60 days, who is not receiving skilled care service in 5 out of 10 Sample Patients (SP).

The Home Health Agency failed to complete a competency evaluation by observing an aide's performance of the tasks (G768) and failed to ensure that the written instructions for the home health aide are prepared by the Registered Nurse (G798).

The provider failed to show that an individualized emergency plan was developed for 1 out of 7 (#4) sample patients (SP).

The provider failed to demonstrate that an initial training in emergency preparedness policies and procedures was provided to 2 out of 8 (A,G) staff.

The home health agency (HHA) failed to ensure the registered nurse (RN) implement the plan of care (POC) as ordered by the physician for 1 out of 7 sampled patients (SP).

The home health agency (HHA) failed to coordinate home health aide services for 1 out of 7 sampled patients.

The home health agency (HHA) failed to ensure the Registered Nurse (RN) follow accepted standards of practice to prevent the transmission of infections and communicable diseases for 1 out of 7 sampled patients (SP).

The provider failed to complete a competency evaluation by observing an aide's performance of the tasks (communication skills; reading and recording temperature, pulse and respiration; appropriate and safe techniques in performing personal hygiene and grooming tasks; safe transfer techniques and…

The provider failed to ensure that the written instructions for the home health aide are prepared by the Registered Nurse in 4 out of 7 Sample Patients (SP).

The home health agency failed to provide at least one of the qualifying services directly through agency employees.

The provider failed to give the patient and the patient's legal representative (if any), the following information during the initial evaluation visit, in advance of furnishing care to the patient: the extent to which payment for home health agency (HHA) services may be expected from Medicare…

The provider failed to have a registered nurse (RN) conduct an initial assessment visit to determine the immediate care and support needs of the patient(s) for 3 out of 7 Sampled Patients (SP).

The provider failed to review all medications that 3 out of 3 Sampled Patients (SP) were currently using.

The home health agency (HHA) failed to provide/include information related to advanced directives in the individualized plan of care (POC) for 1 out of 7 sampled patients (SP).

The provider failed to record all patient care orders in the plan of care for 1 out of 7 Sampled Patients (SP).

The provider failed to have policy developed in consultation with a physician on influenza and pneumococcal vaccines.

The provider failed to document the physician's verbal order in the patient's clinical record, and sign, date, and time the orders in 1 out of 7 Sampled Patients (SP).

The provider failed to coordinate care delivery to meet the patient's needs, and involve the patient, representative (if any), and caregiver(s), as appropriate, in the coordination of care activities for 1 out 7 Sampled Patients (SP).

The provider failed to have the home health aide (HHA) provide services that are permitted to be performed under state law and consistent with the home health aide training for 1 out of 3 Sampled Patients (SP) with home visits made.

The provider failed to ensure that an onsite visit to the patient's home no less frequently than every 14 days is conducted for supervision of the Home Health Aide (HHA) by a Registered Nurse or other appropriate skilled professional in 1 out of 7 Sample Patients (SP).

The provider failed to make an annual on-site visit to the location where a patient is receiving care in order to observe and assess each aide while he or she is performing care for 1 out of 3 employee record review.

The provider failed to ensure that the Registered Nurse (RN) conducted a supervisory visit of the Home Health Aide (HHA) while the HHA is providing patient care, no less frequently than every 60 days, who is not receiving skilled care service in 2 out of 7 Sample Patients (SP).

The provider failed to document in the home health aide supervision the following elements: demonstrating competency with assigned tasks; complying with infection prevention and control policies and procedures; reporting changes in the patient's condition in 1 out of 7 Sampled Patients (SP).

The clinical manager failed to coordinate patient care for 1 out 7 Sampled Patients (SP).

The provider failed to maintain a clinical record with contact information for the patient, the patient's representative (if any), and the patient's primary caregiver(s) for 2 out 7 Sampled Patients (SP).