Elite Home & Nursing Care LLC

The agency failed to ensure the emergency preparedness plan was developed by utilizing a facility-based and community-based risk assessment utilizing an all hazards approach (E006); failed to include a process for cooperation and collaboration with local emergency preparedness officials (E0009)…

The agency failed to ensure their QAPI program was capable of showing measurable improvement in indicators and failed to measure, analyze, and track quality indicators (G642); failed to utilize quality data or other relevant data, monitor the effectiveness and safety of services/ quality of care…

The agency failed to ensure staff followed accepted standards of hand hygiene practices for 1 of 1 home visit observation of personal care provided by a CNA (CNA #1).

The agency failed to provide infection control education for 1 of 2 CNAs (CNA 2).

The agency failed to ensure the clinical record contained a complete wound assessment for 1 of 2 patient records with wound assessments during the review period (Patient #6).

The agency failed to ensure the POC included the frequency and duration of all discipline visits and all complete and measurable goals for 3 of 4 records reviewed for patients receiving SN services only (Patient #2, 3, 6).

The agency failed to ensure there were physician orders for a bowel program which included digital stimulation and the use of suppositories for 1 of 1 patient records reviewed with a bowel program (Patient #1).

The agency failed to ensure the RN followed the agency clinical guidelines for disposal of discontinued medications for 1 of 3 home visit observations (Patient #5).