Dynamic Home Health Care, LLC

The agency failed to transmit Outcome and Assessment Information Set (OASIS) records to the internet Quality Improvement and Evaluation System (iQIES) timely for 5 of 15 quarters (2022, Q4; 2023, Q1; 2023, Q2; 2024, Q4, and 2025, Q4) since their last recertification survey in June 2022. The…

The agency failed to ensure that 1 of 6 staff members followed established infection prevention standards and agency policies related to cleaning reusable supplies during a home visit.

The agency failed to complete an initial assessment within 48 hours of the referral order date for 1 of 17 sampled patients (Patient 3).

The home health agency (HHA) failed to ensure it maintain a comprehensive emergency preparedness program that meets all the requirements of this section.

The home health agency (HHA) failed to ensure its EP plan included a process for the HHA to cooperate with the local, regional, State, and Federal emergency preparedness officials in order to maintain an integrated response during a disaster.

The home health agency (HHA) failed to ensure its EP plan included the procedure for the agency to inform State and local emergency preparedness officials about any HHA patients needing evacuation from their residences.

The home health agency (HHA) failed to ensure its EP plan included its plan for informing State and local officials of any on-duty staff or patients that the agency was unable to contact.

The home health agency (HHA) failed to ensure its EP plan included policies and procedures for addressing surge needs during an emergency.

The home health agency (HHA) failed to ensure its EP communication plan included contact information for Federal, State, and regional emergency preparedness staff.

The home health agency (HHA) failed to ensure its EP communication plan included alternate means of communication if the telephone lines became unavailable.

The home health agency (HHA) failed to ensure its EP communication plan included a method the agency would use to share patient information and medical documentation with other health providers to assure continuity of care.

The home health agency (HHA) failed to ensure its EP communication plan included the method the agency would use to provide information about the agency's occupancy, the agency's needs, and the agency's ability to assist the authority having jurisdiction during a disaster.

The home health agency (HHA) failed to ensure its EP plan included the training and testing program that was based on its policies and procedures, its risk assessment, and its communication plan and that it would be reviewed and updated at least every two years.

The home health agency (HHA) failed to provide documentation that agency staff had received EP training at least every two years.

The home health agency (HHA) failed to ensure staff implemented standard precautions, specifically related to hand hygiene and glove use, in accordance with agency policy as observed during five (Patient (P) 1, P3, P4, P5, P7) of five home visits conducted on 06/28/22 and 06/29/22. This deficient…

The home health agency (HHA) failed to ensure: 1. the agency's COVID-19 vaccination policy contained the required content as identified by CMS, and 2. the agency had documentation of the approval for requested exemptions based on religious beliefs for two of two staff, (Registered Nurse (RN) 4…

The home health agency (HHA) failed to monitor, manage, and maintain the equipment used to access the web-based system.

The home health agency (HHA) failed to ensure staff performed the initial comprehensive assessment within 48 hours of the referral or discharge from the hospital for five (Patient (P) 2, P3, P4, P9, P11) of 17 patient records reviewed.

The home health agency (HHA) failed to ensure the agency staff documented physician verbal orders in accordance with agency policy for five (Patient (P) 2, P3, P4, P5, P15) of five patient records reviewed for verbal orders from a sample of 17 patient records.

The home health agency (HHA) failed to ensure a physician's order had been received for services provided for three (Patient (P) 3, P12, P15) of 17 patient records reviewed.

The home health agency (HHA) failed to ensure each patient's medication profile was kept current with the medications in the home that the patient was taking as observed during home visits on 06/28/22 and 06/29/22 for five (Patient (P) 1, P3, P4, P5, P7) of five home visits conducted from a sample…

The home health agency (HHA) failed to ensure staff followed physician orders in the patients' plan of care (POC) for 10 (Patient (P) 1, P2, P3, P4, P6, P8, P9, P10, P12, P13) of 17 records reviewed.

The home health agency (HHA) failed to ensure agency staff communicated with the physician when patient visits were missed for nine (Patient (P) 1, P2, P3, P6, P8, P9, P10, P12, P13) of 17 patient records reviewed.

The facility failed to utilize quality indicator data derived from OASIS, into the Quality Assessment and Performance Improvement (QAPI) program.

The facility failed to ensure the Outcome and Assessment Information Set (OASIS) assessment and/or plan of care were accurate to reflect the patient for 3 of 7 sampled Patients (P) 1, P2, and P3).

The facility failed to identify the medications currently being used, including prescription and non-prescription medications for potential adverse effects, drug interactions, ineffective therapy, and noncompliance with drug therapy.

The facility failed to include high risk, high volume, or problem prone areas in the development of the Quality Assurance and Performance Improvement (QAPI) plan.