Cozy Healthcare, Inc.

The home health agency (HHA) failed to meet federal Medicare regulations governing home health agencies.

The home health agency (HHA) failed to provide care planning, coordination of services, and quality of care as required.

The agency failed to ensure that skilled services were provided as necessary to meet the patient's needs.

The home health agency (HHA) failed to ensure that patient clinical records contained pertinent past and current findings in accordance with accepted professional standards.

Cozy home health agency (HHA) did not coordinate patient care with all involved caregivers for patients who were on service with Cozy.

The agency did not ensure staff followed accepted standards of practice to prevent transmission of infections and communicable diseases.

The home health agency (HHA) did not ensure all entries were appropriately dated and timed.

The agency did not ensure a safe and appropriate transfer to other care entities when the needs of the patient exceeded the agencies capabilities.

The plan of care (POC) did not contain timeframe's for how often assessments were to be completed.

The agency did not ensure all patient care orders, including verbal orders, were recorded on the plan of care (POC).

The agency did not ensure all treatments were administered only as ordered by the physician.

The home health agency (HHA) did not assure communication with all physicians involved in the plan of care.

The home health agency (HHA) failed to provide services that were ordered by the physician for 4 of 9 patients.

The agency did not provide home health aide services that were ordered by the physician and included on the plan of care (POC) for 1 of 9 patients.

The home health agency (HHA) failed to fully implement, maintain and document an emergency preparedness (EP) program.

The home health agency (HHA) failed to provide care planning, coordination of services, and quality of care as required.

The home health agency (HHA) failed to maintain a home health-wide, data-driven quality assurance and performance improvement (QAPI) program.

The home health agency (HHA) failed to fully implement, maintain, and document and infection control (IC) program.

The home health agency (HHA) failed to provide necessary oversight and supervision of the HHA.

The home health agency (HHA) failed to ensure that patient clinical records contained pertinent past and current findings in accordance with accepted professional standards.

The home health agency (HHA) did not provide patients and their caregivers with required information.

However, the specific information which was addressed during each in-service, or sign-in sheets indicating the staff had attended the in-services was not provided to the survey team.

The home health agency (HHA) did not have a governing body (GB) that had assumed responsibility for the overall operation of the agency.

The home health agency (HHA) did not ensure that care plans included all of the required elements.

The home health agency (HHA) did not provide drugs, treatments and services only as ordered by a physician.

The home health agency (HHA) did not ensure that the plan of care was revised to reflect current information from the patient's updated comprehensive assessment for 1 of 7 sampled patients.

The home health agency (HHA) did not assure coordination of care was provided by all disciplines.

The home health agency (HHA) did not ensure participation in HHA-sponsored in-service training for 9 of 9 skilled professionals whose personnel records were reviewed.

(Patient identifiers: 2) Findings include: 1. For 1 of 2 medical records reviewed of patients receiving home health aide services longer than 14 days, the agency did not conduct any SV.

The home health agency's (HHA) administrator did not ensure that a clinical manager was available during all operating hours.

The home health agency did not ensure it employed qualified personnel.

The home health agency (HHA) did not ensure discharge summaries were complete for every patient.