Dickinson Home Health
Inspection 2018-11-28
· Recertification, Sample Validation · 15 deficiencies · CMS source report (PDF)The agency failed to include in its emergency plan (EP) the procedures needed to follow-up with staff and patients to determine services that are needed in the event services are interrupted due to an emergency and to inform state and local authorities of any on-duty staff or patients that the…
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The facility failed to ensure the emergency preparedness communication plan included a means for sharing information about the facility's occupancy, needs and its ability to provide assistance, to the authority having jurisdiction, the Incident Command Center, or designee, resulting in the lack of…
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The physical therapist (PT) failed to adequately assess and monitor the needs of the patient in 1of 11 records reviewed for therapy services (MR#3) from a total sample of 13 records reviewed, resulting in the potential for unidentified care needs.
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The Agency (HHA) failed to ensure the Registered Nurse (RN) prepared clear written patient care instructions that included safety precautions, functional limitations, assistive devices, and reportable parameters in 8 (MR's #1, #2, #3, #5, #6, #9, #11, and #13) of 9 records in which Home Health Aide…
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The agency (HHA) failed to ensure that clinical records were safeguarded against loss or unauthorized use, resulting in the potential for compromise of protected health information for all patients serviced by the agency.
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The Agency (HHA) failed to advise their patients of the names, addresses and telephone numbers of federally-funded and state-funded entities that serve the area where the patient resides, resulting in the potential for unmet patient care needs.
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The Agency (HHA) failed to ensure that Home Health Aide (HHa) services were furnished for 3 of 4 documented complaints reviewed, (#1, #2, and #3) resulting in unmet patient care needs and the potential for psychological decline.
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The Agency (HHA) failed to ensure that all received complaints documented the resolution of the complaint and referral to the appropriate state agency resulting in the potential for unmet care needs.
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The Agency (HHA) failed to ensure that the initial comprehensive assessment visit was made within 48 hours of the date of referral for 4 records (MR's #5, #6, #9, #10), from a total of 13 records reviewed, resulting in the delay of needed services and the potential for decline in health status.
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The agency failed to ensure the comprehensive assessment included a review of all medications to determine any potential adverse effects, significant drug interactions and duplicate drug therapy; and failed to ensure the physician was notified of the findings in 6 of 13 records reviewed (MR# 1, 4…
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The agency failed to ensure the plan of care (POC) covered all pertinent interventions with reportable parameters and measurable goals specific to the needs of the patient for 4 of 13 records reviewed (MR# 1, 4, 7, 10), from a total sample of 13 records reviewed, resulting in patients not receiving…
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The agency failed to ensure the home health aide (HHa) provided services as ordered in the plan of care for 1 of 9 patients (MR# 10) in which HHa services were provided, from a total sample of 13 records reviewed, resulting in the patient not receiving services as ordered and the potential for…
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The Agency failed to ensure the Administrator was appointment by the Governing Body.
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The Agency (HHA) failed to ensure a qualified alternate, was authorized in writing by the Administrator and the governing body, to function in the Administrator's absence, resulting in the potential for uncoordinated Agency functions.
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The Agency (HHA) failed to ensure the discharge summary was complete, provided the patient's current health status at the time of discharge, progress toward goals in 2 (MR #2, and #11) of 3 closed/discharged records, from a total of 13 records reviewed, resulting in the potential for unidentified…
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