Crest Home Health & Hospice, LLC

The agency failed to ensure patient's rights were protected from neglect and that patient was given contact information for other agencies or providers who may be able to provide care.

The agency failed to ensure services were furnished in accordance with the POC and consistent with patients' needs.

The agency failed to ensure the the interventions, measurable outcomes, medications, and goals outlined in the POC were provided for 2 of 10 patients (Patients #2 and #10) whose records were reviewed.

The facility failed to ensure services ordered by the physician were provided for 2 of 10 patients (Patient #7 and Patient #3) whose records were reviewed.

The agency failed to ensure the patient was free from neglect, as outlined in the POC and ordered by the physician were provided for 1 of 10 patients (Patient #10) whose records were reviewed.

The agency failed to ensure patients were provided contact information for other agencies or providers able to provide care for 1 of 1 patient (Patient #3) who was discharged for cause and whose record was reviewed.

The agency failed to ensure the the interventions, measurable outcomes, medications, and goals needed by the patient were included in the POC for 1 of 10 patients (Patients #3) whose records were reviewed.

The agency failed to ensure patients' comprehensive assessments were updated to include necessary information for 1 of 8 patients (Patient #4) whose records were reviewed.

The agency failed to ensure infection prevention for COVID-19 was followed.

The agency failed to ensure the POCs included all medications, interventions, education, measurable outcomes, and goals for 3 of 8 patients (#1, #2 and #4) whose records were reviewed.

The agency failed to ensure communication with the physician involved in patient care of 1 of 8 patients (Patient #4) whose records were reviewed.

The agency failed to ensure a written medication schedule/instructions was provided to patients for 1 of 3 patients (Patient #1) whose home visits were observed and whose records were reviewed.

The agency failed to ensure encoded OASIS data reflected the patients' status at the time of their discharge assessment for 1 of 4 Medicare patients (Patient #2) who were discharged and whose records were reviewed.

The agency failed to ensure care followed the patients' written POC, for 5 of 13 patients (#1, #5, #9, #10, and #12) whose records were reviewed.

The agency failed to ensure visit notes were entered and completed in a timely manner for 3 of 13 patients (#7, #11, and #12) whose records were reviewed.

The agency failed to ensure patients were provided with the telephone number of the Idaho home health complaint hotline.

The agency failed to ensure SOC comprehensive assessments accurately reflected the patient's status for 1 of 12 patients (Patient #5) whose SOC records were reviewed.

The agency failed to ensure patients received a comprehensive assessment following a hospital stay during a home health episode of care, for 1 of 1 patient (Patient #10) whose care was resumed after a hospitalization and whose record was reviewed.

The agency failed to ensure the POC was accurate and included all pertinent interventions, education, supplies, and equipment, for 6 of 13 patients (#1 #2, #9, #10, #11, and #13) whose records were reviewed.

The agency failed to ensure treatments were administered only as ordered by the physician for 1 of 4 patients (Patient #5) who received wound care and whose records were reviewed.

The agency failed to ensure the physician was promptly alerted to changes in patients' conditions or needs for 2 of 13 patients (#10 and #11) whose records were reviewed.

The agency failed to ensure patient POCs were revised to reflect their current status and needs from an updated comprehensive assessment for 1 of 2 patients (Patient #7) who were recertified for an additional episode of care and whose records were reviewed.

The agency failed to ensure coordination of patient care for 2 of 12 patients (#1 and #4) who received services from more than 1 discipline and whose records were reviewed.

The agency failed to ensure RNs assumed responsibility for ongoing assessments of patients for 3 of 13 patients (#1, #10, and #11) whose records were reviewed.

The agency failed to ensure ST evaluations were completed in a timely manner for 2 of 5 patients (#2 and #6) who received ST services and whose records were reviewed.

The agency failed to ensure SW evaluations were completed and SW care plans were developed by a qualified social worker with a master's degree in SW for 2 of 3 patients (#10 and #13) who received social services and whose records were reviewed.