Enhabit Home Health

The agency failed to ensure the new practitioner was consulted in order to approve of the existing plan of care in 1 of 1 clinical record reviews of patients who changed providers within the first 60 days of service.

The agency failed to ensure services were provided only as ordered by a physician in 1 of 2 active clinical records reviewed.

The agency failed to ensure care was coordinated with the assessing therapist in 4 of 4 clinical records reviewed.

The agency failed to ensure care was coordinated with the patient in 4 of 4 clinical records reviewed.

The agency failed to protect and promote the exercise of patient rights as follows: the agency failed to provide patients with the name and contact information of the administrator in order to receive complaints (see tag G0414); the agency failed to ensure the patients participated in, were…

The home health agency failed to ensure the organization and management of the home health agency as follows: the governing body failed to assume full legal authority and responsibility for the agency’s overall management and operation (see tag G0942); the administrator failed to report to the…

The agency failed to develop a comprehensive emergency preparedness program individualized to the agency.

The home health agency failed to ensure all patients had an individualized emergency preparedness plan in the home for 4 of 4 home visits conducted (Patient #1, 2, 5, 6).

The agency failed to ensure the transfer/discharge summary contained all necessary medical information pertaining to the patient’s current treatment to the receiving facility in 2 of 2 clinical records reviewed with falls.

The agency failed to provide services as directed by the plan of care in 4 of 7 active clinical records reviewed.

The agency failed to revise the plan of care in 4 of 5 clinical records reviewed who recieved skilled nursing, physical therapy, and occupational therapy.

The agency failed to ensure the quality assessment performance improvement (QAPI) program collected quality indicator data to monitor the effectiveness and quality of care related to wounds for 4 of the active 6 clinical records with skilled nursing services.

The agency failed to ensure the performance improvement activities focused on high risk areas as evidenced in 4 of the active 6 clinical records with skilled nursing services.

The agency failed to analyze the cause and implement preventive actions related to infections.

The governing body failed to assume full legal authority and responsibility for the agency’s overall management and operation and failed to ensure the accuracy of public information per agency policy.

The agency failed to provide the patients the name and contact information of the administrator in order to receive complaints in 2 of 4 home visits.

The agency failed to ensure the patients participated in, were informed about, and consented to care in advance of services and treatments with respect to the disciplines that will furnish the care in 7 of 7 active clinical records reviewed (Patient #1, 2, 3, 4, 5, 6, 7).

The agency failed to ensure the patient had the right to a confidential record in 7 of 7 active clinical records reviewed.

The agency failed to ensure the patients were discharged when goals and measurable outcomes were achieved in 1 of 1 closed record reviewed due to goals met.

The agency failed to ensure the comprehensive assessment included a review of the patient’s medications to identify any potential adverse effects and drug reactions in 3 of 5 clinical records reviewed with only 1 certification period.

The agency failed to ensure all orders were incorporated into the plan of care for 1 of 1 active clinical record reviewed where an additional wound developed (Patient #3).

The agency failed to ensure the physician was notified of a change in the patient’s condition in 2 of 4 clinical records reviewed with wounds.

The agency failed to coordinate care in 5 of 10 clinical records reviewed.

The agency failed to ensure the patient was provided with a written visit schedule including the frequency of visits by agency personnel in 4 of 4 home visits.

The agency failed to ensure the patient was provided with written medication instructions and schedule in 4 of 4 home visits.

The agency failed to ensure the patient was provided with written instruction related to the care and treatments to be provided by the agency in 4 of 4 home visits.

The agency failed to provide the patient and caregiver in writing with the name and contact information of the clinical manager in 4 of 4 home visits conducted.

The agency failed to ensure quality assessment performance improvement (QAPI) activities led to an immediate correction of the patient falls.

The skilled professional failed to prepare clinical documentation accurately in 3 of 7 active clinical records reviewed.

The administrator failed to report to the governing body.

The governing body and administrator failed to authorize in writing a pre-designated person in the absence of the administrator.

The clinical manager failed to provide oversight of patient assignments in 1 of 3 home visits receiving services from a certified occupational therapy assistant (COTA).

The agency failed to have a written agreement with another organization furnishing services under arrangement to the agency’s patients in 1 of 1 agency.

The home health agency failed to ensure the use of volunteers to address surge needs during an emergency.

The home health agency failed to ensure all employees followed standard precautions to prevent the transmission of infections and communicable diseases in 1 of 4 home visits conducted.

The home health agency failed to ensure the patient received proper written notice of non-covered services in 1 of 2 discharged patients, in a total sample of 9 clinical records reviewed.

The agency failed to ensure all drugs, services, and treatments were administered only as ordered by the physician for 1 of 7 active clinical records reviewed, from a total sample of 9 clinical records reviewed.

The agency failed to ensure the plan of care was revised as the patient's needs required for 2 of 4 patients who received a home visit.

The agency failed to ensure the physician was promptly notified that patient outcomes were not being achieved and treatment according to the plan of care should have been altered in 1 of 2 discharge records reviewed, in a total sample of 9 records reviewed.

The agency failed to ensure patients were advised about the purpose of Indiana State Department of Health hotline number for 8 of 8 clinical records reviewed (#1 - #8).

The agency failed to ensure the physical therapist (D) and registered nurse (B) provided an accurate assessment of a patient's injuries after falls reported by the assisted living facility where the patient lived for 1 of 1 clinical record review of a patient (#1) with injuries after falls.