Carefocus Corporation

The agency failed to prevent further potential violations, including retaliation while a complaint was being investigated for 1 of 1 patient (P2).

The agency failed to report allegations of verbal abuse to the state agency for 1 of 1 patients (P2).

The facility failed to ensure medication reconciliation was completed to ensure medication changes were updated for 1 of 1 patient (P3) observed during medication set-up.

The agency failed ensure patient’s plan of care (POC) included safety measures to protect against injury for 6 of 6 patient’s reviewed (P1, P2, P3, P4, P5, and P6).

The facility failed to notify the patients of all planned services for 2 of 3 patients reviewed (P1 and P2).

The facility failed to provide a detailed plan of care for 3 of 3 patients reviewed (P1, P2 & P3).

The home health agency (HHA) failed to promptly alert the primary care physician (PCP) for 1 of 3 patients reviewed (P1).

The facility failed to assure communication with all physicians involved for 2 of 3 patients reviewed (P1 and P2).

The agency failed to conduct an exercise to test the emergency plan at least annually.

The agency failed to ensure patients’ plan of care (POC) was individualized and identified patient specific and measurable outcomes and goals for 2 of 3 patients (P5, P3) whose care plans were reviewed for content and accuracy.

The agency failed to ensure provider notification of refusal of home care services was completed and documented before discharging 1 of 1 patient (P7) reviewed for refusal of services.

The facility failed to ensure medication reconciliation was completed to ensure medication changes were updated for 1 of 1 patients (P5) observed during medication set up.

The agency failed to ensure patients’ plan of care (POC) included individualized and patient specific interventions for 2 of 5 patients (P5, P3) a failed to ensure a patient’s diagnoses and current medications were included for 1 of 5 patients (P1) currently receiving home care services.

The agency failed to ensure the plan of care (POC) was reviewed and signed by the attending provider at least every 60 days. for 2 of 7 patients (P5, P7) who received home care services.

The facility failed to ensure provider notification of a revised care plan for 1 of 3 patients (P4) whose charts were reviewed for provider notification.

The agency failed to ensure skilled services were provided as ordered by the provider for 1 of 5 patients (P3) reviewed who were currently receiving skilled services from the agency.

The agency failed to ensure home health aide (HHA) services were ordered by the provider and included in the plan of care (POC) for 1 of 1 patients (P3) reviewed for HHA services.

The agency failed to ensure home health aide (HHA) visits were supervised every 14 days for 1 of 1 patient reviewed (P3) for HHA services.

The facility failed to ensure medical records reflected the patient’s progress towards identified goals of care for 2 of 5 patients (P1, P5) currently receiving skilled services from the agency.

The home health agency (HHA) failed to ensure a complaint was properly documented and followed up on for 1 of 3 patients (P1) who verbalized a complaint of verbal abuse by a nurse.

The home health agency (HHA) failed to identify action taken to remove risks to patients while an abuse complaint was being investigated for 1 of 1 patient (P1) to prevent potential abuse to patients.

The home health agency (HHA) staff failed to report an allegation of verbal abuse immediately to the state agency (SA) for 1 of 1 patient (P1) reviewed for abuse.

The home health agency (HHA) failed to provide services as ordered by the physician for 1 of 1 patient (P1) reviewed when a nurse did not provide a weekly visit the week of 8/7/23 and did not update the physician of a missed visit.

The facility failed to develop policies and procedures with a system of medical documentation that preserved patient information, protected confidentiality of patient information, and secured and maintains availability of records.

The agency's communication plan failed to include all required information including names and contact information for the following: current staff, entities providing services under arrangement, patients' physicians and volunteers.

The agency failed to ensure their communication plan included all required contact information for the Federal and tribal emergency preparedness staff.

The home health agency (HHA) failed to develop a communication plan which included a method for sharing information and medical documentation for patients under the agency's care, with other health providers to maintain the continuity of care.

The agency failed to ensure the emergency preparedness communication plan included a procedure for sharing information on occupancy and the facility's ability to provide assistance to the authority having jurisdiction in the event of an emergency.

The agency failed to ensure a community based, full scale exercise and/or a table top exercise was completed annually to test their emergency preparedness plan.

The agency failed to report to the county agency (CA) and thoroughly investigate allegations of misappropriation of patient funds for 1 of 1 patient (P4) reviewed for allegations of abuse.

The agency failed to complete an initial assessment visit within 48 hours of patient referral for 1 of 7 patients (P7) admitted to the agency who received skilled nursing services Findings include: An undated document titled Client Intake Report, indicated P7 was a 69 year old male with Parkinson's…

The agency failed to ensure 3 of 3 patients (P1, P2, P3) plans of care include a description of durable medical equipment (DME) required to meet residents needs reviewed during home visits.