Excelcare Home Health

In 164 of 722 reports submitted for the last 12 months, the Agency failed to submit all timely reports, resulting in a warning.

For 3 of 7 (Pts. # 2, 3 and 7) clinical records reviewed, the Agency failed to ensure care and/or services were provided as ordered by the Physician and as indicated in the POC.

For 3 of 7 (Pts. # 5, 6, and 7) clinical records reviewed, the Agency failed to ensure that concerns are communicated/coordinated within the healthcare team to ensure Pt. needs were identified and addressed. 3.Pt. #7 was admitted to the home health services on 01/16/24 with the diagnoses of…

In 3 of 7 records (Pts. #3, 4 and 7) with therapy orders, the Agency failed /delayed to coordinate the therapy services.

The Agency failed to ensure the Emergency Preparedness Plan was based on a facility and community risk assessment, utilizing an all hazards approach.

The Agency failed to ensure the Emergency Plan included volunteers.

The Agency failed to ensure the Agency had conducted Agency tabletop exercises as required, to ensure the effectiveness of the Agency's Emergency Preparedness Plan.

The Agency failed to ensure staff provide service/treatment as ordered by the Physician, and indicated in the POC.

Page 1 lacked the effective date that SN and PT services would end, this section was left blank.

The Agency failed to ensure the POC contained all disciplines providing Pt. care/service.

The Agency failed to ensure that the physician was notified regarding changes in condition.

The record included the "Medication Profile" form completed by the RN and effective 7/3/21 which lacked Magnesium, Citracal with Vitamin D and Centrum Silver.