Excell Home Care

The agency failed to ensure QAPI Program activities included efforts that analyzed causes and implemented actions to identify problems, improve care, services and operations for all patients and employees.

The agency failed to ensure the review and reporting of ongoing PIP data through the QAPI program for all patients and employees.

The agency failed to ensure its infection control program surveillance monitoring and reporting was included in QAPI program activities for all patients and employees.

The agency failed to ensure HHCOC notice prior to physical therapy discharge from agency services were provided to one (Patient #10) of 17 patients.

The agency failed to ensure individualized patient POC's included: Medical provider reporting parameters for management of peripheral edema for seven (Patient #3, 4, 5, 13, 14, 15 and #17) of 17 patients.

The agency failed to ensure care was coordinated between the agency and physician for three (Patients #3, 4 and #15) of 17 patients.

The agency failed to ensure: SN to notify medical provider for patient reported pain levels greater than the reporting parameters for two (Patients #1 and #2) of 17 patients.

The agency failed to ensure SN visit note documentation was complete for three (Patients #3, 6 and #11) of 17 patients.

The agency failed to ensure a completed transfer summaries were provided to the receiving service provider for five (Patients #2, 8, 11, 13 and #14) of 17 patients.

The agency failed to ensure: 1. An individualized patient POC included urinary catheter change treatment intervention due dates for three (Patients #7, 8 and #9) of 17 patients; 2. An individualized patient POC included blood sugar monitoring reporting parameters for two (Patients #10 and #17) of…

The agency failed to ensure care was coordinated between the agency and physician for three (Patient #1, 2 and #6) of 17 patients.

The agency failed to ensure services were provided as ordered on the POC to: 1. SN to notify physician for blood sugar levels outside of reporting parameters for one (Patient #13) of 17 patients; 2. SN to administer Vitamin B12 injection treatment intervention weekly times four weeks, then…

The agency failed to ensure: 1. PT clinical visit notes were completed for one (Patient #2) of 17 patients and; 2. SN clinical visit notes were completed for five (Patients #8, 11, 13, 14 and #16) of 17 patients.

The agency failed to ensure a completed transfer/discharge summary was provided for five (Patients #1, 2, 3, 4 and #5) of 17 patients.