Evertrue Home Health

The agency failed to follow accepted standards of practice for infection control, to prevent the transmission of infections and communicable diseases in one (Record/Patient #2) of three home visit observations.

The agency failed to maintain a coordinated agency-wide program for the surveillance, identification, prevention, control and investigation of infectious and communicable diseases that is an integral part of the quality assessment and performance improvement (QAPI) program.

The agency failed to ensure a complete and accurate list of all the medications that the patient was currently using in one (Record/Patient #3) of three home visit observations.

The home health agency failed to ensure the plan of care (POC) included all of the required elements in, but not limited to, one (Records/Patients #4) of five full record reviews.

The agency failed to ensure all staff had the Employee Disqualification List (EDL) checked prior to hire for two (E#3 and E#4) of four employee files reviewed, and had obtained the Family Care Safety Registry (FCSR) prior to patient contact in one (E4) of four employee files reviewed.

The agency failed to ensure a completed comprehensive discharge summary was sent to the primary care physician or other professional who would be responsible for providing care and services to the patient after discharge from the agency/services within five business days of the patient's discharge…

The agency failed to provide an individualized, written plan of care specifying the care and services that met the requirements for the Condition of Participation: Care Planning, Coordination of Services, and Quality of Care, when the agency failed to: - Ensure each patient received an…

The agency failed to provide each patient an individualized plan of care in, but not limited to, two (Patient/Record #1 and #3) of six records reviewed.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must provide verbal notice of the patient's rights in the individual's primary or preferred language and in a manner the…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must provide written notice of the patient's rights under this rule and the agency transfer and discharge policies to a…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must advise the patient or representative, physicians, and healthcare professionals who will be responsible for…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that if the patient is being considered for a discharge for cause, the agency must make efforts to resolve the problem.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that if the patient is being considered for a discharge for cause, the agency must provide the patient or representative with contact…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must document the problem and efforts made to resolve the problem, if the patient is considered for a discharge for…

The agency failed to complete the initial assessment of the patient within 48 hours of the referral, or within 48 hours of the patient's return home, or on the physician ordered start of care date in one (Patient/Record #3) of six complete records reviewed.

The agency failed to ensure: - A complete and accurate review of all the medications the patient is currently using in, but not limited to, one (Record/Patient #1) of six records reviewed; and - Medications were reviewed by a registered nurse (RN) when a physical therapist (PT) completed the start…

The agency failed to ensure the comprehensive assessment was updated at discharge including a complete medication review, in one (Record/Patient #1) of six records reviewed.

The agency failed to provide drugs, services and treatments only as ordered by a physician in, but not limited to, two (Records/Patients # 1 and #6 ) out of six records reviewed.

The agency failed to provide verbal orders that show physician communication and dates that collaborate with clinical findings in, but not limited to, two (Records/Patients #1 and #5) of six records reviewed.

The agency failed to ensure the skilled professional assumed responsibility for ongoing interdisciplinary assessment of the patient in one (Record/Patient #1) out of six records reviewed.

The agency failed to ensure the skilled professional assumed responsibility for patient and caregiver education in two (Records/Patients #1 and #5) out of six records reviewed.

The agency has been found out of compliance in one Condition of Participation: Care Planning, Coordination of Services, and Quality Care.

The registered nurse (RN) failed to provide an annual on-site visit to observe and assess the home health aide while performing care on a patient in one (Home Health Aide A- HHA-A) of one home health aide employee file reviewed.

The agency failed to ensure all staff complied with all Federal and State laws in one of four employee files reviewed.

The agency failed to provide a clinical record that was accurate and included the plans of care and physician orders in, but not limited to, two (Records/Patients #3 and #5) of six records reviewed.

The agency failed to include all interventions, including treatments and services in the clinical record in, but not limited to two (Records/Patients #1 and #5) of six records reviewed.

The agency failed to provide complete contents of the clinical record when a completed discharge summary was not sent to the physician within five business days and a completed transfer summary was not sent to the health care facility within two business days of becoming aware of an unplanned…