Companion Home Health, LLC

The agency failed to ensure performance improvement project for the agency in calendar year 2024 and 01/01/25 to 06/03/25 showed baseline or threshold measurements to identify measurable outcomes in PIP activity for 11 (Patients #1, 2, 3, 4, 5, 6, 7, 8, 9, 10 and #11) and all employees.

The agency failed to ensure the administrator’s name and contact information for complaint and grievance procedures was a part of the admission packet information for three (Patients #2, 3 and #6) of 11 patients.

The agency failed to ensure: 1. Physician notification the agency could no longer meet the patient needs prior to discharge for three (Patients #9, 10 and #11) of 11 patients.

The agency failed to ensure individualized patient POC included: 1. A a specific SN visit frequency and duration for one (Patient #2) of 11 patients.

The agency failed to ensure: 1. SN monitored the patient’s blood pressure every visit as ordered for one (Patient #1) of 11 patients.

The agency failed to ensure completed transfer/discharge summaries were provided to receiving providers for two (Patients #8 and #9) of 11 patients.

The agency failed to ensure an Emergency Preparedness Communication Plan included updated required information related to the staff contact information for the agency.

The agency failed to ensure care was coordinated between the agency and physician for three (Patient #2, 4 and #8) of 10 patients.

The agency failed to ensure conduction of patient centered QAPI Program activities for all patients and employees.

The agency failed to ensure governing body oversite of: A patient centered QAPI Program for calendar years 2020 and 2021;Agency program evaluation for calendar years 2020 and 2021 and;An operating budget and allocation of resources activities for calendar year's 2020 and 2021 effecting all patients…

The agency failed to ensure advance notice of discharge was provided prior to being discharged from the agency for one (Patient #8) of 10 patients.

The agency failed to ensure: 1. Patient education on potential health outcomes related to refusal of OT visits for one (Patient #8) of 10 patients and; 2. Pysician notification of the patient's continued refusal of OT visits for one (Patient #8) of 10 patients.

The agency failed to ensure: The medication profile was reviewed, updated and the physician was notified of an allergy alert for an ordered medication for one (Patient #1) of 10 patients and;The medication profile was reviewed and updated with an ordered medication for one (Patient #4) of 10…

The agency failed to ensure the individualized patient POC included: pain reporting parameters for six (Patients #1, 2, 3, 5, 9 and #10) of 10 patients and;Recurring urinary catheter change due dates were documented for one (Patient #4) of 10 patients.

The agency failed to ensure: SN visits were conducted as ordered by the physician for three (Patients #1, 2 and #7) of 10 patients;SN staff perform wound care as ordered by the physician for one (Patient #4) of 10 patients.

The agency failed to ensure services were provided as ordered on the POC’s: SN to conduct wound site assessments and perform wound care for three (Patient #1, 4 and #6) of 10 patients;SN to conduct assessments of patient weight every visit and notify the physician of change in patient weight for…

The agency failed to ensure multi-discipline professional staff were available to participate and provide input into the agency’s QAPI program for all patients and employees.