Critical Care Visiting Nurses

The Home Health Agency (HHA) failed to electronically transmit completed OASIS (Outcome and Assessment Information Set) assessments (a comprehensive patient assessment) to the Centers for Medicare and Medicaid Services (CMS) system within 30 days after completing the assessment.

The Home Health Agency (HHA) failed to provide information on its discharge and transfer policies in advance of furnishing care for seven out of seven sampled patients (Patients (P) 1, P2, P3, P4, P5, P6, and P7).

The Home Health Agency (HHA) failed to provide the name and contact information for the Administrator for two of two patients (Patient (P) 1 and P3) reviewed during home visit observations.

The Home Health Agency (HHA) failed to provide the OASIS (Outcome and Assessment Information Set) notice of privacy to eight of eight sampled patients (Patient (P) 1, P2, P3, P4, P5, P6, P7, and P8) reviewed for admission to the HHA for care and services.

The Home Health Agency (HHA) failed to complete the patient comprehensive admission assessment within five calendar days after the start of care for three of five patients (Patients (P) 1, P4, and P5) reviewed for the completion of records.

The Home Health Agency (HHA) failed to provide the patient or caregiver with a written schedule of medications. for two of two patients (Patient (P) 1 and P3) reviewed during home visit observations.

The Home Health Agency (HHA) failed to complete an in person on-site home health aide supervisory visit every 14 days for one of two patients (Patient (P) 1) reviewed for home health aide services.

The facility failed to develop and maintain an emergency preparedness plan that was reviewed and updated at least every 2 years.

The facility failed to develop and maintain an emergency preparedness plan that was reviewed and updated at least every 2 years.

The facility failed to develop and maintain an emergency preparedness plan that was reviewed and updated at least every 2 years.

The facility failed to develop and implement emergency preparedness policies and procedures based on the facility and community-based risk assessments that was reviewed and updated every two years.

The facility failed to develop and implement policies and procedures to address a system of medical documentation that preserves patient information, protects confidentiality or patient information, and secures and maintains availability of records.

The facility failed to ensure the communication plan included names and contact information for staff and for entities providing services under arrangement, patient's physicians, and volunteers.

The facility communication plan failed to have contact information for Federal, State, Regional, and local emergency preparedness staff.

The facility failed to conduct an exercise to test the emergency plan annually.

The agency failed to ensure emergency preparedness policy and procedures were reviewed and updated annually.

The agency failed to ensure the emergency preparedness communication plan contained contact information including local, state and federal emergency response resources.

The agency failed to ensure employees were adequately trained to be able to demonstrate knowledge of emergency preparedness procedures.

The agency failed to transmit completed OASIS (Outcome and Assessment Information Set) assessments within 30 days of completion.

The agency failed to ensure physician orders were followed for monitoring and reporting abnormal blood pressure results for 1 of 7 sampled patients (Patient #5) and pain assessment for 2 of 7 sampled patients (Patient #5 and #4).

The agency failed to plan, document or conduct performance improvement projects.

The agency's Governing Body failed to implement and maintain a Quality Assessment and Performance Improvement Program.

The agency failed to ensure the Registered Nurse conducting home health supervisory visits accurately evaluated the care provided by the Home Health Aide for 1 of 7 sampled patients (Patient #5).

The agency's Governing Body failed to meet, establish and oversee its Quality Assessment and Performance Improvement Program and Program Evaluation.

The agency failed to document completed skilled visit entries in clinical records in a timely manner for 3 of 7 sampled patients (Patient #2, #4 and #5).

The agency failed to ensure physician orders were followed as indicated in the plan of care for monitoring and reporting abnormal blood pressure results 1 of 7 sampled patients (Patient #5) and pain assessment for 2 of 7 sampled patients (Patient #5 and #4).

The agency failed to ensure skilled nursing home visit notes were completed in a timely manner for 2 of 7 sampled patients (Patient #4 and #5).

The agency failed to ensure communication with the physician and other providers was maintained as indicated in the plan of care for monitoring and reporting abnormal blood pressure results for 1 of 7 sampled patients (Patient #5).

The agency failed to document Home Health Aide supervision no less frequently than every 14 days for 2 of 7 sampled patients (Patient #3 and #5).