D'first Home Care, Inc.

The provider failed to ensure that all staff participate in the emergency preparedness training at least every 2 years and maintain documentation of the training for 2 out 10 sample personnel records reviewed.

The home health agency staff failed to follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases for 1 out of 3 Sampled Patients (SP) with home visits made.

The provider failed to demonstrate that 2 out of 10 active staff received annual in-service on infection control.

The provider failed to demonstrate it had obtained the patient's or legal representative's signature confirming that he or she has received a copy of the notice of rights and responsibilities for 2 out of 7 Sampled Patients (SP).

The home health agency failed to assure communication with the patient's physician involved in the plan of care for 1 out of 7 Sampled Patients (SP).

The home health agency staff failed to provide physical therapy service within the scope of practice as ordered by the physician and indicated in the plan of care for 1 out of 3 Sampled Patients (SP) with home visits done.

The provider failed to demonstrate a completed annual on-site visit for 1 out of 5 employee records reviewed.

The provider is unable to demonstrate a completed discharge summary for 2 out of 7 Sampled Patients (SP).

The provider failed to develop and maintain an emergency preparedness training and testing program that is based on its federal emergency preparedness plan that included strategies and procedures on the identified risks.

The provider failed to: Conduct annual training based on its emergency preparedness policies and procedures to existing staff and individuals providing on-site services under arrangement consistent with their expected roles; Provide emergency preparedness training at least annually; Maintain…

The provider failed to demonstrate a tabletop exercise that included a group discussion led by a facilitator, using a narrated, clinically-relevant emergency scenario, and a set of problem statements, directed messages, or prepared questions designed to challenge its federal emergency preparedness…

The provider failed to demonstrate the physician was consulted to approve additions or modifications to the original plan of care on 2 out of 10 Sampled Patients (SP).

The provider failed to conduct annual improvement projects.

The provider failed to demonstrate that 3 (Staff D, E, and F) out of 11 active staff received annual in-service on infection control.

The provider failed to ensure the clinical record includes all entries appropriately authenticated (signature and a title), dated, and timed for 1 out 10 Sampled Patient (SP).

The provider failed to have an individualized plan of care for 1 out of 10 Sampled Patients (SP).

The Home Health Agency failed to develop influenza and pneumococcal vaccines policy and procedures in consultation with a physician.

The home health agency failed to demonstrate the staff(s) prepare and record clinical notes for 1 out of 10 Sampled Patients (SP).

The provider failed to maintain documentation which demonstrates that an individual may furnish home health services on behalf of an Home Health Agency only after that individual has successfully completed a competency evaluation program for 2 out of 5 personnel file reviewed.

The provider failed to send a completed discharge summary that is sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the Home Health Agency for 2 out 10 Sampled Patients (SP).

The Home Health Agency (HHA) staff failed to follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases (G682).

The home health agency staff failed to follow accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable diseases for 3 out of 3 Sampled Patients(SP) with home visits made.

The provider failed to demonstrate that 5 out of 9 (A, B, C, F, I) active staff received annual in-service on infection control.

The provider failed to ensure completed written instructions for the home health aide prepared by the Registered Nurse in 2 out of 7 Sample Patients (SP).

The provider failed to ensure the clinical record includes all entries appropriately authenticated (signature and a title), dated, and timed for 1 out 7 Sampled Patient (SP).

The provider failed to give the contact information for the Home Health Agency's Administrator, including the Administrator's name, business address, and business phone number in order to receive complaints for 1 out 7 Sampled Patient (SP).

The provider failed to give the patient and the patient's legal representative (if any), the following information during the initial evaluation visit, in advance of furnishing care to the patient: the extent to which payment for home health agency (HHA) services may be expected from Medicare…

The provider failed to advise of the names, addresses, and telephone numbers of the following Federally-funded and state-funded entities that serve the area where the patient resides: Agency on Aging, Center for Independent Living, Protection and Advocacy Agency, Aging and Disability Resource…

The home health agency failed to conduct an initial assessment within 48 hours of the physician's referral date for 1 out of 7 sampled patients (SP).

The provider failed to ensure that a review of all medications the patient is taking in 1 out of 3 Sampled Patients (SP) with home visits.

The provider failed to document the physician's verbal order in the patient's clinical record, and sign, date, and time the order in 1 out of 7 sampled patients (SP).

The provider failed to give the name and contact information of the Home Health Agency clinical manager for 1 out of 7 Sampled Patient (SP).

The home health aide failed to follow the plan of care for 1 out of 7 Sampled Patients (SP).

The provider failed to ensure the Home Health Aide supervision criteria for maintaining an open communication process with the patient, representative (if any), caregivers, and family was completed in 2 out of 7 Sampled Patients (SP).

The clinical manager failed to coordinate patient care for 1 out 7 Sampled Patients (SP).

The provider failed to have the clinical manager assure the updates of the individualized plan of care for 1 out of 7 Sampled Patient (SP).

Staff E failed to provide services in accordance with current nursing clinical practice guidelines and accepted professional standards of practice for 1 out of 7 sampled patients (SP).

The provider failed to have in the clinical record all clinical notes for service rendered for 1 out of 7 Sampled Patients (SP).