Caretenders Visiting Services of Kentuckiana LLC

The agency failed to ensure that it did not delegate duties to an outside entities (See G940) and the Governing Body of Angels of Mercy failed to ensure policies that were adopted by the agency and admission documents contained only the name of Angels of Mercy and not that of the another entity…

The agency failed to ensure home health aides provided services as ordered according to the plan of care for 1 of 7 active patient records reviewed.

The agency failed to ensure their QAPI (Quality Assessment Performance Improvement) program measured, analyzed, and tracked an incident that resulted in an emergency room visit for 1 of 1 agency.

The Governing Body failed to ensure the governing body maintained documentation of meeting minutes and all those who participated in regards to the quality improvement program (QAPI) for 2018. Findings include: A 01/01/19 Entity #1's policy titled "Organizational Responsibilities and Organizational…

The facility failed to ensure staff appropriately followed infection control practices for bathing patient's and cleaning equipment for 2 of 3 home visits.

The Governing Body of Angels of Mercy failed to ensure policies that were adopted by the agency and admission documents contained only the name of Angels of Mercy and not that of the another entity for 1 of 1 agency.

The agency failed to ensure the protection of clinical records from unauthorized use for 2 of 7 records reviewed, with the potential to affect all current 17 patient records.

The agency failed to ensure patient rights were adhered to in regards to the protection of clinical records from unauthorized use for 2 of 7 records reviewed, with the potential to affect all current 17 patient records.

The agency failed to ensure the initial assessment visit was conducted within 48 hours of referral for 1of 7 records reviewed.

The agency failed to ensure the plan of care contained services that were being provided by outside entities and explained the delineation of duties for 1 of 7 records reviewed.

The contracted therapy agency failed to write complete and specific therapy orders for 1 of 6 patient's receiving therapy services.

The agency failed to ensure the agency's policy was followed for incorporating clinical documentation into the clinical record in a timely manner for 1 of 2 records reviewed for wounds.