Excellent Care Home Health Services, Inc

The agency failed to ensure that a qualified Assistant Administrator was appointed by the Administrator to manage the agency operations and services in the absence of the Administrator for a universe of 25 patients.

The agency failed to ensure that the nurses notes were submitted in a timely manner and included in the clinical record for one (1) of seven (7) sampled patients (Patient 1).

The facility failed to ensure the initial assessment was conducted within 48 hours after the referral was received for two (2) of seven (7) sampled patients (Patient 4 and Patient 5).

The agency failed to ensure that medications were properly reviewed and reconciled for two (2) of three (3) sample home visit patients (Patient 1 and 2) as evidenced by, 1. For Patient 1, the medication profile (list of medication patient was taking) and the 485 (a form that has the plan of care…

The agency failed to complete a recertification assessment (ReCert-an assessment to determine if home health services continue to be required by a patient for another 60-day period) within the last five days of the 60 recertification period for one (1) of seven (7) sampled patients (Patient 2).

The agency failed to ensure that content of staff personnel files were complete, when needed documents were missing in the employee files.

The agency failed to ensure that in the absence of the administrator a qualified, pre-designated person, who is authorized in writing by the administrator and the governing body, assumes the responsibilities and obligations of the administrator.