Central Home Health Services Inc

The agency failed to evidence that home health aide services were being provided as ordered per the plan of care for 7 of 8 patients.

The agency failed to ensure care plans were individualized related to the risk of falls and therapy modalities to use and the interventions to be utilized; failed to ensure the correct size foley catheter was used as ordered per the plan of care; and failed to follow the physician parameters for…

The agency failed to ensure the quality assurance program was capable of showing measurable improvement and must measure, analyze and track quality indicators, including adverse patient events, and other aspects of performance that enable the agency to assess processes of care, HHA services, and…

The home health agency failed to have an active infection control program for 1 of 1 agency and failed to maintain a coordinated agency-wide program for the surveillance, identification, prevention, control, and investigation of infections and communicable diseases and incorporated the information…

The agency failed to ensure all home health aides completed a competency evaluation program [see G 754], agency failed to ensure all home health aides completed a competency evaluation program [see G 754], failed to provide documentation of competency for use of a Hoyer [mechanical] lift, prior to…

The agency failed to ensure initial assessments was completed by the registered nurse within 48 hours of referral in 1 of 3 clinical records reviewed with skilled services and start of care was within the 60 days prior to day one of survey [July 22, 2019]. (clinical record 7) Findings include…

The agency failed to ensure care plans were individualized related to the risk of falls and therapy modalities to use and the interventions to be utilized for 3 of 4 active clinical records reviewed with orders for therapy (Patients #1, 4, and 6); failed to ensure the correct size foley catheter…

The agency failed to ensure that staff follow accepted standards of practice when using standard precautions to prevent the transmission of infectious and communicable diseases during 1 of 1 home observations of a home health aide.

The agency failed to ensure the actual date of completion for supervisory visits were documented and include a legible signature on the client's assessments/clinical records for 1 of 10 active clinical records reviewed. [Patient 1] Findings include: 1. On 7/25/19 at 3:19 p.m., the current…

The agency failed to provide written notice of the patient's rights and responsibilities, before the initiation of treatment, for 1 of 3 active clinical records reviewed, with an admission / start of care date within 60 days of survey entrance date of 7/22/2019. Findings Include: Review of clinical…

The agency failed to ensure a client's medication review was completed by a Registered Nurse (RN) for 3 of 10 active records reviewed.

The agency failed to include to include patient-specific interventions and education, measurable outcomes and goals for 3 of 5 patient records reviewed where the agency identified patients at at risk of falls.

The agency failed to ensure an order was obtained to change the size of a catheter prior to insertion for 1 of 1 active clinical record reviewed with orders for urinary catheter management.

The agency failed to communicate with staff regarding a patient's fall (patient 6) and a patient's potential environmental situation in the prevention of falls (patient 4) for 2 of 5 clinical records reviewed where the agency identified the patient was at high risk of falls.

The agency failed to provide the patient and caregiver with a current copy of patient medication schedule and instructions that included the medication name, dosage, frequency, and instructions for 2 of 3 home observations. [Patient 8 and 10] Findings Include: 1. The agency Medication Policy was…

The administrator failed to ensure notification to the registered nurse (RN) that patient had fallen, so that an in-depth assessment would be completed for 1 of 2 record review of patients where the agency recorded a history of falls (Patient #6) and failed to follow the physician's orders to…

The agency failed to provide written patient and caregiver education for fall precautions for 1 of 2 records reviewed identified with a history of falls. [Patient 3] Findings Include: Review of Plan of Care for patient #3, dated 6/6/19 through 8/4/19 stated to instruct fall prevention interventions.

The agency failed to ensure all home health aides were observed to complete hands on bathing as part of their a competency evaluation program for 2 of 2 files reviewed (# I & J) of staff whose first patient contact was after 01/01/2019 and who provided home health aide services on behalf of the…

The agency failed to provide documentation of competency for use of a Hoyer [mechanical] lift, prior to providing care, for 2 of 2 employee records reviewed of staff that provided care to patient 10 [employees A and B]. Findings include: 1. Home observation on 7/25/2019, surveyor noted Hoyer lift…

The agency failed to ensure that the home health aide provided only the services permitted to be performed under the Indiana state law and consistent with the home health aide training for 1 of 1 home observations of a home health aide. [Employee A] Findings Include: During a home visit observation…

The agency failed to ensure that the clinical record included physician orders for 1 of 1 record reviewed with a foley catheter.[Record 3] Findings Include: Review of clinical record #3, included a plan of care established by the physician for the certification periods 6/6/2019 to 8/04/2019…