Enhabit Home Health (VA Beach)

The agency failed to ensure that patients were informed of the contact information for the administrator.

The agency failed to provide safe care as ordered by a physician.

Agency staff failed to ensure all patients received an updated and revised comprehensive assessment within the required timeframe and due to any major decline or improvement in the patient's health status.

The agency staff failed to provide coordination of care for one (1) of seventeen (17) patients in the survey sample (patient #3).

The agency failed to provide the contact information (to it's patients) for the HHA (home health agency) Administrator in order to receive complaints.

The agency failed to ensure each patient was informed at the time of admission regarding the charges the patient may have to pay for home health services before care is initiated in five (5) of 17 clinical records reviewed in the survey sample.

The agency failed to provide a Home Health Change of Care Notice (HHCCN) to Medicare patients in advance of reducing/discontinuing services for one (1) of one (1) clinical record's reviewed in the survey sample for which a HHCCN was applicable (Patient record: #6).

The agency failed to investigate four (4) of twenty-seven complaints listed in the complaint log.

Agency staff failed to investigate a complaint related to skilled nursing services that may have caused an injury to a patient and failed to provide a follow-up assessment to meet the patients' needs for one (1) of twenty-seven patients listed in the complaint log (patient #3).

The agency staff failed to document complaint resolutions for four (4) of twenty-seven complaints listed in the log.

The agency failed to ensure all patients received an updated comprehensive assessment within the last 5 days of every 60 day period for two (2) of eleven patients who required a recertification and were reviewed in the survey sample (Clinical records: #4 and #11).

The agency failed to ensure that the agency's professional staff promptly alerted the patient's physician to any changes that may suggest a need to alter the patient's plan of care for one (1) of 17 patients whose clinical records were reviewed in the survey sample (Clinical record: #3) The…

Agency staff failed to provide coordination of care with the patient's physician for one (1) of seventeen (17) patients in the survey sample.

Agency staff failed to provide coordination of care to include the patient and caregiver for one (1) of seventeen (17) patients in the survey sample (patient #3).

The agency failed to send the patient's transfer summary within 2 days of transfer for one (1) of two (2) transferred patients in the survey sample (Client record #1).

The review of patient medical records and agency polices it was identified that the agency failed to notify the physician and obtain physician orders for missed visits and added visits for one (1) of four (4) patient records reviewed in the survey sample (patient #1).

The agency failed to promptly alert the relevant physician(s) to any changes in the patient's condition for one (1) out of four (4) patient records reviewed (patient #1).