Elite Home Health Care Inc

The agency failed to provide documentation of a current Plan of Care in the patient’s home for one (1) of two (2) observational patient home visited conducted, (OBS #1).

The agency failed to provide Home Health Aide (HHA) documentation of twelve (12) in-service hours per year for two (2) of three (3) HHAs reviewed.

The agency failed to provide documentation showing staff completed evaluations of all patient medications per policy including but not limited to: any potential adverse effects, any drug reactions including ineffective drug therapy, significant side effects, significant drug interactions, duplicate…

The agency failed to provide documentation that all patient care was provided as ordered in the plan of care for four (4) of seven (7) CRs reviewed, (CR #3, 4, 6, and #7).

The agency failed to provide documentation the Home Health Aide (HHA) completed tasks as ordered on the Aide Care Plan for one (1) of four (4) CRs that receive HHA services, (CR # 5).

The agency failed to be responsible for all day-to-day operations by not following its policies to provide documentation of the following: orientation documentation for four (4) of ten (10) PFs reviewed, (PF # 3, 5, 6, and 10); initial competency evaluation for two (2) of ten (10) PFs reviewed…

The agency failed to follow its policy regarding transmitting OASIS (outcome and assessment information set) for two (2) of two (2) clinical records receiving skilled services over the age of eighteen.

The governing body and the administrator failed to ensure a qualified registered nurse (RN) was appointed to the position of director of nursing (DON) and assistant director of nursing (ADON).

The agency failed to complete the comprehensive assessment within 48 hours of referral, or within 48 hours of the patients return home, or on the physician- ordered start of care date for three (3) of seven (7) clinical records (CR#3, 6, and 7).

The agency failed to complete a comprehensive assessment within five (5) days of the end of the certification period for two (2) of seven (7) CR reviewed.

The agency failed to ensure that the "Home Health Certification and Plan of Care" (POC) included detailed physician orders for all care to be provided for five (5) of seven (7) CR reviewed.

The agency failed to integrate orders from all physicians involved in the plan of care to assure the coordination of all services and interventions provided to the patient for four (4) of seven (7) CR reviewed.

The agency failed to ensure personnel policies were followed pertaining to qualifications and performance evaluations for six (6) of eleven (11) PF reviewed.

The agency failed to provide documentation that a discharge summary was sent to the primary care physician within five (5) days of discharge for two (2) of two (2) discharged CRs reviewed (CR# 6 and 7).

The agency failed to provide services ordered by the physician as indicated in the plan of care, for one, (1), of three, (30, Patient files, (PF), reviewed.