Compassus Home Health - Butte

Due to the manner and degree of the deficient practices, the agency failed to meet the Condition of Participation: Patient Rights for Home Health Agencies.

The agency failed to track, analyze the cause, and implement preventative actions for patient abuse allegations of medication misappropriation for 5 (#s 8, 9, 10, 11, and 12) of 5 sampled patients.

The agency failed to have a clinical manager from February 2022 until May 2022; and failed to provide oversight of all patient care services and personnel during that time.

The agency failed to ensure the patients' property was treated with respect for 5 patients (#s 8, 9, 10, 11, and 12) of 5 sampled patients; and failed to ensure a home visit was scheduled, per the patients' preference, when home health personnel entered the home for 3 patients (#s 9, 11, and 12) of…

The agency failed to protect its patients from abuse by misappropriation of medications, failed to prevent further instances of abuse, and failed to investigate allegations of abuse thoroughly for 5 (#s 8, 9, 10, 11, and 12) of 5 sampled patients.

The facility failed to investigate an allegation of misappropriation of patient property as a complaint made by 1 (#12) of 5 sampled patients.

The facility failed to protect the rights of patients to be free from misappropriation of patient property, while an active, ongoing investigation was being conducted for 5 patients (#s 8, 9, 10, 11, and 12) of 5 sampled patients.

The agency failed to document a complaint allegation of abuse for misappropriation of medication for 1 (#12) of 5 sampled patients; and failed to provide 5 (#s 8, 9, 10, 11, and 12) of 5 sampled patients complaint resolutions for misappropriation of medications.

The facility failed to protect patients from further misappropriation of patient property, after an allegation of theft of medications was reported to the agency and during an active investigation for 5 patients (#’s 8, 9, 10, 11, and 12) of 5 sampled patients.

Agency staff member G failed to perform a thorough respiratory assessment; and failed to follow physician’s orders, outlined in the established plan of care for 1 patient (#7) of 3 sampled patients.

The agency failed to accurately reflect the status of a pressure ulcer at the time of discharge on the Discharge OASIS for 1 (#2) of 10 sampled patients.

The agency failed to maintain, in writing, evidence of a corrective action plan which addressed the root cause of agency identified infections; and failed to maintain, in writing, evidence of the agencies monitoring for the effectiveness of the established corrective action plan.

The agency failed to notify the responsible physician for a patient's refusal of skilled care services which resulted in a late start of care for 1 (#2) of 10 sampled patients.

The agency failed to ensure the plan of care included the number of PRN visits to be completed within the certification period, and failed to specify a rationale for the PRN visits for 1 (#7) of 10 sampled patients.

The agency failed to ensure all physician orders were included on the plan of care for 1 (#7) of 10 sampled patients.

The agency failed to ensure all physician ordered services were provided for 1 (#1) of 10 sampled patients.