Elara Caring Xx

The agency failed to ensure an Emergency Preparedness Communication Plan included updated required information related to the staff contact information for the agency for all patients and staff.

The agency failed to ensure advance beneficiary notice and/or HHCOC notice prior to discharge from agency services were provided to two (Patients #12 and 15) of 17 patients.

The agency failed to: 1. Educate the patient on potential health outcomes related to refusal of and/or missed visits prior to the patient’s discharge from HHA services for noncompliance and; 2. Notify the physician of the patient's continued refusal of and/or missed visits prior to the patient’s…

The agency failed to ensure medication regimen changes were updated on the medication profile for one (Patient #5) of 17 patients.

The agency failed to ensure care was coordinated between the agency and physician for one (Patient #4) of 17 patients.

The agency failed to ensure: 1. SN conducted visit frequency as ordered on the POC for four (Patients #1, 4, 10 and #12) of 17 patients and; 2. SN conducted wound site care ordered on the POCs for one (Patient #4) of 17 patients.

The agency failed to ensure multi-disciplined skilled professional staff were available to participate and provide input into the agency’s QAPI program for all patients and employees.

The agency failed to ensure SN visit note documentation was completed within 24 hours (agency timeline requirements) for four (Patients #1, 5, 15 and #16) of 17 patients.

The agency failed to ensure a completed transfer/discharge summary was provided for two (Patients #14 and #15) of 17 patients.

The agency failed to ensure an Emergency Preparedness Communication Plan included updated required information related to the patients and staff members of the agency, potentially affecting all agency employees and patients during emergency situations.

The agency failed to ensure required in-service education was provided to one (Staff F) of five employees.

The agency failed to ensure a notice of non-medicare coverage was provided to one (Patient #10) of three patients.

The agency failed to ensure weekly wound site measurements were conducted for one (Patient #9) of 10. Findings: Patient #9 A review of the POC dated 12/20/20 to 02/17/21 documented orders for SN to perform wound care and assess the wound site three times a week.

The agency failed to ensure physicians were notified of missed visits for three (Pt #7, 8 and 9) of 10 patients.