Care Options for Kids

The agency failed to provide the services as ordered on the Plan of Care by a physician for 2 out of 3 Sampled Patients (SP).

The provider failed to demonstrate that it has conducted emergency preparedness training at least every 2 years, and has failed to demonstrate it has maintain documentation of all emergency preparedness, including initial and training and staff knowledge of emergency procedures.

The provider failed to electronically transmit each OASIS (Outcome and Assessment Information Set) data within 30 days of completing the assessment of the beneficiary for 1 out of 10 Sampled Patients (SP).

The provider failed to demonstrate that 7 out of 7 (Staff A, B, C, D, E, G and H) active staff received annual in-service on infection control.

The provider failed to ensure that the written instructions for the home health aide (HHA) are prepared by the Registered Nurse in 1 out of 10 Sample Patients (SP).

The provider failed to demonstrate the patient received all services outlined in the plan of care for 3 out of 3 active Sampled Patients (SP).

The assigned nurse quit the case because SP#4 was not compliant with skilled nursing visits.

The provider failed to complete a discharge comprehensive assessment, including the administration of the OASIS (Outcome and Assessment Information Set) items for 1 out of 10 Sampled Patients (SP).

The provider failed to include in the individualized plan of care a description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors on 2 out of 3 active Sampled Patients (SP).

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 10 Sampled Patients (SP).

(SP#4, SP#6, SP#8 and SP#10); and the provider failed to ensure the clinical record included a completed transfer summary that is sent within 2 business days of becoming aware of an unplanned transfer, if the patient is still receiving care in a health care facility at the time when the Home Health…

The provider failed to develop and maintain an emergency preparedness plan that must be based on and include a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach and include strategies for addressing emergency events identified by the risk assessment.

The provider failed to ensure its emergency preparedness plan included procedures to follow up with on-duty staff and patients to determine services that are needed, in the event that there is an interruption in services during or due to an emergency, and procedures on how the home health agency…

The provider failed to develop and implement emergency preparedness policies and procedures must address a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records.

The provider failed to develop and implement emergency preparedness policies and procedures and address the use of volunteers in an emergency or other emergency staffing strategies.

The provider failed to develop and maintain an emergency preparedness communication plan that includes primary and alternate means for communicating with the staff and Federal, State, tribal, regional, and local emergency management agencies.

The provider failed to ensure that all new and existing staff that participated in the initial emergency preparedness training, demonstrated knowledge of the Home Health Agency's emergency procedures and of their expected roles.

The provider failed to ensure the care follows the written plan of care established by the physician on 4 out of 7 Sampled Patients (SP).

The home health agency staff failed to follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases for 1 out of 3 Sampled Patients(SP) with home visits made.

The provider failed to ensure the clinical record contained pertinent past and current findings in accordance with accepted professional standards is maintained for every patient receiving home health services for 1 out of 7 Sampled Patient (SP).

The provider failed to include in the individualized plan of care the following: a description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors; and information related to any advanced directives…

The home health agency failed to provide service(s) that are ordered by the physician as indicated in the Plan of Care (POC) for 2 out of 7 Sampled Patients (SP).

The provider failed to develop and maintain an emergency preparedness plan that must be based on and include a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach and include strategies for addressing emergency events identified by the risk assessment.

The provider failed to develop and implement emergency preparedness policies and procedures that must include a process for cooperation and collaboration with local, tribal, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster…

The provider failed to ensure its emergency preparedness plan included procedures to follow up with on-duty staff and patients to determine services that are needed, in the event that there is an interruption in services during or due to an emergency, and procedures on how the home health agency…

The provider failed to develop and implement emergency preparedness policies and procedures must address a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records.

The provider failed to develop and implement emergency preparedness policies and procedures must address the use of volunteers in an emergency or other emergency staffing strategies.

The provider failed to develop and maintain an emergency preparedness communication plan that includes primary and alternate means for communicating with the staff and Federal, State, tribal, regional, and local emergency management agencies.

The provider failed to ensure that all new and existing staff that participated in the initial emergency preparedness training, demonstrated knowledge of the Home Health Agency's emergency procedures and of their expected roles.

The provider failed to demonstrate tabletop exercise(s) that included a group discussion led by a facilitator, using a narrated, clinically-relevant emergency scenario, and a set of problem statements, directed messages, or prepared questions designed to challenge an emergency plan, analyze the…

The provider failed to ensure the care follows the written plan of care established by the physician on 4 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 the clinical record includes all entries appropriately authenticated (signature and a title), dated, and timed for 1 out 7 Sampled Patient (SP).

Base on record review and interview, the provider failed to complete a comprehensive recertification assessment within the last 5 days of every 60 days on 1 out of 7 Sampled Patients (SP).

The provider failed to include in the individualized plan of care the following: a description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors; and information related to any advanced directives…

The home health agency failed to provide service(s) that are ordered by the physician as indicated in the Plan of Care (POC) for 4 out of 7 Sampled 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 3 out of 6 employee record review.

The provider failed to have the clinical manager assure the implementation of the individualized plan of care for 4 out of 7 Sampled Patients (SP).

The provider failed to have in the clinical record all clinical notes for services rendered for 1 out of 7 Sampled Patients (SP).