Elder's Journey Home Care of Wabash Valley, Inc

The agency failed to use the QAPI program to identify, analyze, and correct repeated and systemic deficiencies.

The agency failed to ensure effective organization and administration of patient care services.

Staff did not obtain a detailed verbal order or signed POC before providing services.

The agency failed to follow infection control practices, including required hand hygiene, during 1 of 2 home visits.

The agency failed to ensure oversight of patient care services and personnel, resulting in a home health aide performing tasks outside the scope of practice, inadequate supervision, inconsistent emergency response practices, and a serious adverse patient event.

The agency failed to implement its grievance and complaint procedures, resulting in missing, incomplete, and untimely documentation of complaint investigations and outcomes for 205 of 208 complaints filed in 2025. Findings include: An undated policy titled "Client/Family Complaint/Grievance Policy"…

The agency failed to ensure a skilled nursing reassessment was completed on the physician-ordered resumption date prior to the resumption of home health services for 1 of 5 active records reviewed.

The agency failed to ensure home health aides performed services permitted under Indiana state law and consistent with home health aide training for 1 of 2 closed records reviewed (HHA 3).

The agency failed to coordinate patient care for 1 of 2 closed records reviewed (Patient #4).

The agency failed to assure that patient needs were continually assessed for 1 of 6 active records reviewed.

The agency failed to assure the development, implementation, and updating of individualized plans of care for 4 of 8 records reviewed.

The agency failed to provide guidance in the agency’s emergency preparedness plan on the use of volunteers during a disaster for 1 of 1 emergency preparedness review.

The agency failed to test the emergency preparedness plan annually for 1 of 1 emergency preparedness plan reviewed.

The agency failed to provide written documentation of future scheduled discipline visits or an updated medication list for 2 of 5 home visits.

The agency failed to ensure standard infection control precautions were followed regarding bag technique for 1 of 2 skilled nursing home observations (LPN 1); failed to ensure standard infection control precautions were followed regarding showering for 2 of 2 home health aide observations (HHA 1…

The agency failed to evaluate Home Health Aide (HHA) competencies by direct observation as required on a patient or a pseudo patient, for 2 of 2 HHA personnel files reviewed.

The agency failed to ensure patients were provided a written copy of the agency discharge and transfer policies for 5 of 5 record reviews with home visits, potentially affecting all 362 active patients.

The agency failed to ensure all medication and treatments were listed on the current plan of care for 1 of 2 skilled nursing observations.

The agency failed to ensure the comprehensive assessment reflected the patient's current status for 1 of 1 home observation visits.

The agency failed to notify the Indiana Department of Health, in writing, of the new service (attendant and respite care), the date the service was intended to be offered, and all supporting documentation that showed the home health agency was qualified to provide the additional services.

The agency failed to ensure the existence of patient expression of dissatisfaction were documented as complaints, as required by agency policy for 1 of 1 (Patient 1) patients whose clinical record was reviewed.

The agency failed to ensure services were provided according to the plan of care for 1 of 1 home health aide visits.

The registered nurse failed to ensure clear and accurate medication profiles & failed to ensure medication discrepancies were reconciled with the ordering physician upon resumption of care post hospitalization and next certification period thereafter, for 2 of a total sample of 9 patients.

The agency failed to ensure the plan of care contained all durable medical equipment, specific bowel regimen orders, diet requirements, an accurate listing of medications and treatments, pertinent diagnosis/surgeries, and an accurate and up-to-date summary of care for 2 (Patient #3 & #5) of 9…

The agency failed to ensure all written/verbal orders were incorporated into the plan of care for 1 (Patient #3) of 9 patient records reviewed.