Carenet Homecare Services, Inc

The Agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past and current medical history that included dates of onset, exacerbations, treatments and outcomes, measurable data to use as a baseline for future…

The agency failed to hold the appropriate CLIA (Clinical Laboratory Improvement Amendment) certification for laboratory services and was out of compliance with 42 CFR 484.100(c)(1), resulting in a lack of certification for patient laboratory services.

The agency failed to ensure clinical record documentation was complete in 1 of 7 records reviewed out of a total sample of 7 records (MR #5), resulting in potential for unidentified and unmet patient needs.

The agency failed to ensure the plan of care covered all pertinent interventions with reportable parameters, and objectively measurable goals specific to the needs of the patient for 7 records reviewed (MR#s 1, 2, 3, 4, 5, 6, and 7) from a total sample of 7 sampled records reviewed, resulting in…

The Agency failed to ensure the Physician was promptly notified, as ordered in the plan of care, of vital signs and blood sugar readings outside the reportable parameters, for 1 record (MR #1) in 1 of 7 total sampled records reviewed; and failed to notify the physician of new problems reported by…

The agency failed to maintain a coordinated agency-wide surveillance program for the identification and prevention of COVID-19, resulting in the potential development and spread of a contagious viral infection between agency staff and the agency's 12 current patients.

The Agency failed to provide documented evidence that Covid-19 infection control education was provided to all 41 staff employed by the agency staff, who were granted clinical privileges, or the 12 patients currently serviced by this agency, resulting in the potential for the development and spread…

The Home Health Agency failed to develop a Quality Assessment and Performance Improvement (QAPI) policy and program that measure, track and analyze it's quality indicators in order to assess the processes of care and services provided by the agency, resulting in the inability to improve patient…

The agency failed to maintain compliance with this condition of participation.

The Agency failed to ensure the emergency plan included strategies for addressing the emergency events identified by the risk assessment, resulting in the potential to affect the Agency's ability to provide patient care in the event of an actual emergency.

The Agency (HHA) failed to have a process for cooperation and collaboration with local, regional, State and Federal emergency preparedness officials to maintain an integrated response during a disaster or emergency; and failed to document the it's efforts in contacting these officials to engage in…

The Agency failed to include in its emergency plan the procedures needed to follow-up with staff and patients to determine services that are needed in the event services are interrupted due to an emergency and to inform state and local authorities of any on-duty staff or patients that the Agency is…

The agency failed to develop and maintain a communication plan for emergency preparedness, resulting in no directions for agency methods of communication with staff and officials in the event of an actual disaster.

The Agency failed to ensure the communication plan included a method for sharing information and medical documentation for patients under the Agency's care with other providers to maintain continuity of care, resulting in the potential to affect the Agency's ability to provide pertinent patient…

The Agency (HHA) failed to provide documentation for the required annual tabletop and community based full-scale exercises nor any documentation of an actual event that would qualify as a test of the emergency plan, resulting in the potential to affect all patients and staff, in the event staff is…

The home health agency failed to develop a Quality Assessment and Performance Improvement (QAPI) policy and program that measure, track and analyze it's quality indicators in order to assess the processes of care and services, provided by the agency, resulting in the inability to improve patient…

The agency failed to collect and monitor data for the Quality Assessment and Performance Improvement (QAPI) program, to ensure the effectiveness and safety of services and quality of care to the patients and to identify opportunities for improvement, and there was no documented evidence the…

The Home Health Agency (HHA) failed to develop a Performance Improvement Plan/activities, as part of the agency's Quality Assessment Performance Improvement (QAPI) program to track the adverse patient events, analyze the cause, and implement preventive actions/interventions, resulting in the…

The Governing Body failed to ensure the agency had an active and functioning Quality Assessment and Performance Improvement (QAPI) program that fulfilled all of the regulatory requirements of this section.

The Home Health Agency (HHA) failed to ensure each Home Health Aid (HHa #1 and #2) completed, at least, 12 hours of in-service training during each 12 month period for 2016 and 2017, of a total of 2 of 2 home health aides that provided services for this Home Health Agency.

The agency failed to ensure the registered nurse (RN) prepared written patient care instructions for the home health aide (HHa) for 1 of 3 patients (MR#3) in which HHa services were provided, from a total sample of 7 records reviewed, resulting in the aide providing care that was not ordered for…

The agency failed to hold the appropriate CLIA (Clinical Laboratory Improvement Amendment) certification for laboratory services and was out of compliance with 42 CFR 484.100(c)(1), resulting in a lack of certification for patient laboratory services.

The agency failed to ensure the patient's family or guardian was notified of their right to exercise the patient's rights in 1 of 1 records reviewed in which the patient had dementia or cognitive impairment (MR# 2) out of a total of 7 records reviewed.

The agency failed to inform the patient in advance of the disciplines that will furnish care and the proposed visit frequency in 2 of 7 records reviewed (MR#2, and 5) from a total sample of 7 records reviewed, resulting in the patient not having knowledge of the plan for treatment.

The agency failed to ensure patients had the right at any time to register a complaint on the state toll free hotline, resulting in the potential for unresolved complaints for the agency's 41 current patients.

The agency failed to advise their patients of the names, addresses and telephone numbers of federally-funded and state-funded entities that serve the area where the patient resides, resulting in the potential for unmet patient care needs for the agency's current 41 patients.

The agency failed to ensure the registered nurse (RN) conducted the initial assessment visit within 48 hours of referral to determine the immediate care and support needs of the patent including homebound status and eligibility for the Medicare home health benefit for 1 of 7 records reviewed (MR#5)…

The agency failed to ensure the registered nurse (RN) completed the comprehensive assessment no later than five calendar days after the start of care for 1 of 7 records reviewed (MR#5) in which nursing services were provided, from a total sample of 7 records reviewed, resulting in the delay of…

The home health agency failed to complete the performance improvement activities for 2017 and 2018. Findings include: During an interview conducted on 7/11/18 at 1 PM, a request was submitted to review the Performance Improvement (PI) data and/or reports for 2017 and 2018, the Director of Nursing…

The agency failed to ensure the home health aide (HHa) provided services as ordered in the plan of care for 3 of 3 patients (MR# 3, 4 and 7) in which HHa services were provided, from a total sample of 7 records reviewed, resulting in the patient not receiving services as ordered and unmet care…

The agency failed to ensure the registered nurse completed an on-site supervisory visit to the patient's home at least every 14 days to supervise the services that were provided by the home health aide for 2 of 3 records reviewed (MR#3 and 7) in which aide services had been documented for a period…

The agency failed to ensure that the discharge and transfer summary was sent to the physician within 5 business days of the patient's discharge or within 2 business days of the patitensts transfer in 2 of 2 closed records (MR# 3 and 7) and in 1 of 1 transfer record (MR#1), from a total sample of 7…