Excell Home Health Plus
Inspection 2024-12-06
· Recertification · 8 deficiencies · CMS source report (PDF)In 7 of 11 Employees (Employees # 1, 2, 3, 8, 9, 10 and 11) reviewed, the Agency failed to conduct staff training related to Agency’s Emergency Preparedness Plan.
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In of 304 of 583 reports submitted for the last 12 months, the Agency failed to submit a timely report, resulting in a warning.
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In 2 of 7 (Pts. # 5 and 7) clinical records reviewed, the patient care was not provided as ordered in the POC.
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In 4 of 7 (Pts. # 2, 3, 5, and 7) clinical records reviewed, the Agency failed to ensure the Pt./representative was informed in writing of the services to be provided and the frequency of visits.
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In 2 of 7 (Pts. #2,and 3) clinical records reviewed, the Agency failed to ensure the initial assessment was done within 48 hours upon receipt of a referral.
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In 2 of 7 (Pts. #6 and 7) clinical records reviewed, the Agency failed to ensure the POC contained patient specific interventions indicated for a pertinent Diagnosis.
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In 1 of 2 (Pt. #5) clinical records reviewed, wherein the Pt. received Home Health Aide services, the Agency failed to ensure the RN conduct Home Health Aide supervision every 14 days.
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In 2 of 2 (Pts. #6 and 7) closed clinical records reviewed, the Agency failed to ensure that the Physician was sent a copy of the discharge summary within 5 days of discharge.
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