Elders Journey Home Care LLC

The agency failed to ensure the agency provided services as ordered on the plan of care (See tag G436); failed to notify the patient or physician before discharge for cause (See tag G464); and failed to provide patients with contact information for providers able to provide care (See tag G448) The…

The agency failed to complete an initial assessment within 48 hours of a referral (See tag G514) and failed to ensure staff completed an accurate, comprehensive assessment that reflected the patient's health status (See tag G528).

The agency failed to accurately assess, measure, and manage a patient's wound promptly, coordinate care effectively with the provider and PSA agency, and provide immediate care to meet the patient's overall needs (See tag G570); failed to have a signed plan of care (POC) or a verbal POC order from…

The agency failed to follow the Home Health Aide (HHA) Plan of Care (POC) as ordered by the Physician (See tag G800); failed to ensure the home health aide provided hands-on direct patient care (See tag G802); and failed to ensure the home health aide reported changes in the patient's condition and…

The agency failed to ensure staff completed accurate clinical record documentation for 2 of 6 patients with home visits (Patient #6, #11).

The agency failed to implement a full-scale emergency training and testing program for 1 of 1 Emergency Preparedness Program reviewed.

The agency failed to encode and electronically transmit each completed OASIS assessment to the CMS system within 30 days of completing the assessment of the patient for 1 of 1 Agency Error Summary Report review.

The agency failed to have a signed plan of care (POC) or a verbal POC order from the primary physician before providing services and treatments to patients for 5 of 9 full record reviews.

The agency failed to include measures derived from OASIS and incorporate them into the QAPI program for 1 of 1 Quality Assessment Performance Improvement (QAPI) reviews.

The agency failed to ensure standard infection control precautions were followed regarding bag technique for 2 of 5 home observations with a Registered Nurse (RN 1, RN 3); failed to ensure gloves were removed and hand hygiene performed throughout the entire home visit or failed to perform hand…

The agency failed to provide services as ordered on the plan of care (POC) for 2 of 6 active record reviews.

The agency failed to notify the patient or physician prior to discharge for cause for 1 of 5 closed records reviewed.

The agency failed to provide patients with contact information for providers able to provide care for 2 of 5 discharge record reviews (Patient #1, #2).

The agency failed to complete an initial assessment within 48 hours of a referral for 3 of 8 full chart reviews with skilled nursing services.

The agency staff failed to complete an accurate, comprehensive assessment that reflected the patient's health status for 1 of 2 home visit observations.

The agency failed to ensure the Plan of Care (POC) included mental status specific to person, place, and time for 5 of 9 full record reviews (Patient #2, #6, #7, #8, #9), failed to ensure the POC included all medications for 2 of 6 active patients with home visits (Patient #6, #7), and failed to…

The Registered Nurse (RN) failed to provide services as ordered by the physician, affecting 2 of 2 observed RN home visits.

The agency failed to coordinate care with the physician regarding a patient's wound for 1 of 6 active record reviews.

The agency failed to ensure in-service training for Home Health Aides (HHA) were provided under the supervision of a Registered Nurse (RN) for 1 of 4 HHA personnel records reviewed (HHA 3).

The agency failed to follow the Home Health Aide (HHA) Plan of Care (POC) as ordered by the Physician, for 5 of 6 patients with HHA services.

The agency home health aide (HHA) failed to provide hands-on direct patient care for 3 of 5 record reviews with home health aide services.

The agency home health aide (HHA) failed to report changes in the patient's condition and needs to a nurse for 1 of 5 record reviews with HHA services.

The agency Administrator failed to ensure that the home health agency met all the rules and regulations for licensure and failed to ensure compliance with Center of Medicare & Medicaid Services (CMS) Conditions of Participation for 1 of 1 home health agency.

The agency failed to maintain referral documents in the patient's clinical records for 5 of 8 full record reviews with skilled nursing services (Patient #1, #2, #5, #6, #9) Findings include: 5. A document provided by Quality Nurse 2 was a printed email dated 08/09/2022. Next to the date was…

The agency failed to ensure staff completed a detailed discharge summary and failed to document all communication with the patient regarding discharge for 5 of 5 closed record reviews.

The agency failed to ensure policies and procedures were developed and implemented regarding additional precautions to mitigate the spread of COVID-19 for unvaccinated staff that provide direct patient care for 3 of 3 unvaccinated staff interviews (RN G, LPN H, HHA J), with the potential to affect…

The agency failed to ensure care was provided and signed off on by the patient prior to documenting in the clinical record for 2 of 4 patients with home health aide visits.

The skilled nurse failed to ensure the accuracy of the patient's medications on the plan of care for 1 (Patient #9) of 6 active patients, of a total sample of 9 patients.

The agency failed to ensure the revised plan of care was developed and supported from the recertification comprehensive assessment to reflect current information for 2 of 9 patients (Patient #1, 2).