Evertrue Home Health

The home health provider failed to: - Ensure an individualized plan of care (POC) that included all pertinent diagnoses and treatments (G574); - Provide written instructions outlining the visit schedule (G614); and - Provide written instructions outlining physician ordered treatments (G618).

The home health provider failed to ensure: - The administrator was responsible for the day-to-day operations of the provider (G0948); and - The clinical manager provided oversight assuring the development, implementation, and updating of the individualized plan of care (G0968).

The provider failed to encode and electronically transmit each completed Outcome and Assessment Information Set (OASIS; standardized data collection tool) within 30 days of completing the assessment.

The home health provider failed to ensure the accuracy of the OASIS data in one of five full records reviewed (Record/Patient #2).

The home health provider failed to ensure the QAPI program measured, analyzed and tracked quality indicators, and other aspects of performance to assess processes of care.

The home health provider may not train, or competency evaluate their home health aides for a period of two (2) years following the date of this survey.

The provider failed to provide their patients with the address for the QIO (Quality Improvement Organization) that served the area where the patient resided in, but not limited to, one of three home visit observations (Record/Patient #3).

The home health provider failed to ensure systems were in place to document the existence and the resolution of patient complaints.

The home health provider failed to maintain an accurate/updated medication profile in three of three home visit observations conducted (Records/Patients #1, #2, and #3).

The home health provider failed to ensure an individualized plan of care (POC) that included all pertinent diagnoses and treatments, in three of five full records reviewed (Records/Patients #2, #3, and #4).

The provider failed to ensure that a written visit schedule that included frequency of visits by home health personnel was provided to patients and caregivers in three of three home visit observations conducted (Records/Patients #1, #2, and #3).

The home health provider failed to ensure the patient and caregiver were given written instructions outlining treatments to be administered by their personnel in one of three home visit observations conducted (Record/Patient #2).

The registered nurse (RN) failed to provide an individualized, patient specific home health aide plan of care in one of three records reviewed (Record/Patient #3).

The home health provider failed to ensure the skilled nurse (SN) obtained physician orders before providing wound care in one of five full records reviewed (Record/Patient #2).

The home health provider failed to ensure the administrator was responsible for day-to-day operations and that regulatory compliance was achieved.

The home health provider failed to ensure the clinical manager provided oversight in the development, implementation, and updating of the individualized plan of care (POC).

The agency failed to ensure contact information was included and updated for federal emergency preparedness staff.

The agency failed to update the written notice of patient rights, to include that information must be provided to patients in a language and in a manner that is accessible and timely to persons with disabilities, including accessible websites, and the provision of auxiliary aids services, at no…

The agency failed to ensure the OASIS privacy notice was provided to the patient on admission.

The agency failed to provide the written notice of patient rights, that included the right to receive a copy of the patient’s rights and responsibilities, and the agency’s transfer and discharge policies, provided to a patient-selected representative within four business days of the initial…

The agency failed to update the written notice of the state toll-free hotline hours of operation (7:00 AM to 8:00 PM) in the admission folders of three (Patients #1, #2, and #3) of three home visit observations.

The agency failed to update the written notice of patient rights to include that the patient and representative (if any) be advised of the name, addresses, and telephone number of the Federally funded and state funded entities that serve the area where the patient resides, to include the current…

The agency failed to ensure the patient’s current health status was assessed and documented in one (Patient/Record #1) of five full records reviewed.

The agency failed to ensure that a complete/accurate medication review and/or update of the patient’s medications was completed in, but not limited to, two (Records/Patients #1 and #3) of five full records reviewed.

The agency failed to include all the elements of an individualized plan of care in, but not limited to, four (Patients/Records #1, #2, #3, and #4) of five full records reviewed.

The agency failed to provide the name and contact information of the current clinical manager in the admission folders of three (Patients #1, #2 and #3) of three home visit observations.

The agency failed to ensure staff provided services as ordered by the physician in one (Record/Patient #2) of five full clinical records reviewed.

The agency failed to provide dementia specific training about Alzheimer’s disease to one (Employee #3) of six employee records reviewed.

The agency failed to ensure a completed discharge summary was sent to the primary care practitioner or other health care professional who will be responsible for providing care and services to the patient after discharge from the home health agency, within 5 business days of the patient’s discharge…

The agency failed to ensure the registered nurse (RN) performed an accurate and complete review/update of all medications the patient was currently using in, but not limited to, three (Records/Patients #1, #2, and #3) of five cases reviewed.

The agency failed to provide services that were ordered by the physician as indicated in the plan of care in, but not limited to, one (Record/Patient #2) of five cases reviewed.

The agency failed to ensure the registered nurse (RN) or other appropriate skilled professional completed home health aide supervisory visits within the required time frame for one (Record/Patient #4) of one applicable record reviewed.

The agency failed to ensure that the agency staff evaluated the aide for all of the required elements during the aide supervisory visits in one (Record/Patient #4) of one applicable records.

The agency failed to follow agency policy and procedures for infection control in one (Record/Patient #3) of three home visit observations.