Enhabit Home Health (Pecos)

The agency failed to complete an initial assessment within 48 hours of the referral order date for 1 of 17 sampled patients (Patient 8).

The home health agency (HHA) failed to investigate, analyze, and trend infection control surveillance data in its quality assurance and performance improvement (QAPI) program.

The home health agency (HHA) failed to maintain an infection control surveillance program that included tracking, trending, identification, and analysis of patient infections.

The home health agency (HHA) failed to complete an assessment of the patient within 48 hours of the referral, within 48 hours of discharge from an inpatient setting, or on the physician ordered start of care (SOC) date for 6 of 17 patients (Patient (P)2, P7, P12, P13, P14, and P17).

The home health agency (HHA) failed to ensure a nurse reviewed the list of patient medications for potential adverse effects including ineffective drug therapy, significant side effects, significant drug interactions, duplicate drug therapy, or noncompliance with drug therapy for 2 of 2 patients…

The facility failed to ensure a process for emergency preparedness collaboration with local, regional, state and federal emergency preparedness officials was implemented.

The facility failed to participate in a community-based, full-scale emergency exercise on an annual basis as part of the facility's Emergency Preparedness Plan.

The Home Health Agency (HHA) failed to ensure weekly wound measurements for two of two patients (patient (P)6, P7) with physician ordered wound care out of a total of 13 total medical records reviewed in the sample.