Care Unlimited Health Services, Inc

The Home Health Agency (HHA) failed to ensure the Condition of Participation regarding Care Planning, Coordination, Quality of Care was met as follows: 1. The HHA failed to follow the plan of care (POC) for one of seven sampled patients (Patient 2).

The home health agency (HHA) failed to follow the plan of care (POC) to provide round the clock care as ordered for one of seven sampled patients (2).

The HHA failed to ensure there was a coordination of care and services for two of seven sampled patients (Patient 1 and Patient 3).

The home health agency failed to provide documented evidence of a Quality Assessment and Performance Improvement (QAPI) program based upon identified or negative patient care outcomes, and measurable indicators to evaluate changes in policy, procedure, and intervention.

The Home Health Agency (HHA) failed to ensure that Skilled Nurse (SN) performed standard precautions, to prevent the transmission of infections and communicable diseases for two of seven sampled patients (Patient 1 and Patient 3).

The Home Health Agency (HHA) failed to review and document medication changes for one of seven sampled patients (Patients 1).

The home health agency (HHA) failed to obtain a physician order for two of seven sampled patients (Patient 2 and Patient 6).

The visiting nurse failed to notify the physician promptly regarding a patient with a newly identified right foot third toe nail bruise for one out of seven patients (Patient 6).

The Home Health Agency (HHA) failed to ensure the patient and primary caregiver (PCG) were instructed and provided education regarding insulin medication and the glucometer machine for three of seven sampled patients (Patient 1, Patient 3 and Patient 6).

The Home Health Agency (HHA) failed to ensure a certified home health aide (CHHA1 )was qualified to provide care prior to providing patient care.

The home health agency failed to provide a home exercise program for one of 7 patients (Patient 5).

The Home Health Agency failed to ensure the medications were reconciled and updated for two of 7 sampled patients (Patient 1 and 6).

The agency staff failed to ensure the physical therapy aide was supervised by a licensed physical therapist for one of 7 sample patients.