Community Home Health and Restorative Care

The home health provider failed to ensure an individualized plan of care (POC) that included all patient-specific interventions, in three of five full records reviewed (Records/Patients #1, #2, and #4).

The home health provider failed to ensure all documented entries were complete, clear, and accurately reflected the skilled visit, in one of three home visit observations (Record/Patient #1).

The home health provider failed to provide, in writing the correct business address, in, but not limited to, one of three home visit observations (Record/Patient #2).

The provider failed to provide written notice of the correct state toll free home health hotline number hours of operation in, but not limited to, one of three home visits observed (Patient/Record #2).

The provider failed to update the written notice of patient rights to meet the requirements of the federal home health regulations to include the name address and phone number of the current QIO that serves the area where the patient resides in, but not limited to, one of three home visit…

The home health provider failed to ensure the initial assessment was completed within 48 hours of the referral in one of five full records reviewed (Record/Patient #4).

The home health provider failed to ensure the comprehensive assessment accurately reflected the patient’s current health status including relevant past medical history in, one of five full records reviewed (Record/Patient #1).

The home health provider failed to ensure an accurate medication review and/or update of the patient medications was completed, in one of three home visit observations (Record/Patient #3).

The home health provider failed to ensure that education and treatments were provided as ordered by the physician, in two of five full records reviewed (Records/Patients #1 and #3).

The agency failed to: - Ensure that each patient's written individualized plan of care (POC) included all required elements (G574); - Ensure services and treatments were administered only as ordered by a physician (G580); and - Promptly alert the physician to changes in the patient's condition that…

The agency failed to ensure the patient was advised orally and in writing of the extent to which payment for services may be expected from Medicare, Medicaid, or any other federally-funded aid program, the charges of services that may not be covered in one, (Record/Patient #2) of three home visit…

The agency failed to ensure staff provided the written notice of the updated state toll free home health telephone hotline hours of operation (7:00 AM to 8:00 PM, seven days a week) in the admission booklet.

The agency failed to conduct the initial assessment of the patient within 48 hours of the referral to home care, or 48 hours after the patient's return home, or on the physician ordered start of care date in one (Record/Patient #1) of five full records reviewed.

The agency failed to ensure an accurate medication review and/or update of the patient medications was completed in three (Records/Patients #1, #2, and #3) of three home visit observations.

The agency failed to ensure that each patient's written individualized plan of care (POC) included all required elements in one (Record/Patient #1) of five full records reviewed.

The agency failed to ensure services and treatments were administered only as ordered by a physician in, but not limited to, one (Record/Patient #1) of five full records reviewed.

The agency failed to promptly alert the physician to changes in the patient's condition that may suggest a need to alter the plan of care (POC) in two (Records/Patients #1 and #5) of five full records reviewed.

The agency may not train or competency evaluate their home health aides for a period of two (2) years following, the date of this survey.

The agency failed to send a completed transfer summary to the healthcare facility that the patient was receiving care within two business days of becoming aware of an unplanned transfer in three (Records/Patients #1, #2 and #3) of five full records reviewed.

The agency failed to ensure an accurate review and update of all current medications in, but not limited to, two (Record/Patient #1 and #5) of five cases.

The agency failed to develop an accurate plan of care (POC) to include an assessment of the patient's pain with interventions, wound care and diabetic assessment, a description of the patient's risk for emergency department visits and hospital re-admission, all necessary interventions to address…

The agency failed to alert the physician to a change in the patient's condition in, but not limited to, two (Record/Patient #1, #2) of five cases reviewed.

The agency failed to ensure effective ongoing interdisciplinary assessment of the patient.

The agency failed to: - Ensure staff had a criminal background check per the Family Care Safety Registry (FCSR)performed prior to hire in, but not limited to, one (Employees: E-3) of three employee files reviewed; and - Ensure staff had an Employee Disqualification List (EDL) background check prior…