F.C. of Arkansas, Inc.

The Agency failed to ensure the initial Comprehensive Assessment was conducted within 48 hours of referral to Home Health services in 1 (#1) of 15 (#1 through #15) clinical records reviewed.

The Agency failed to develop Performance Improvement Projects (PIP) for 2019 for Quality Assessment/Performance Improvement (QAPI) program activities or data.

The Agency's governing body failed to ensure the development of Performance Improvement Projects (PIP) for 2019 for Quality Assessment/Performance Improvement (QAPI) program activities or data.

The Agency failed to ensure the Licensed Practical Nurse (LPN) coordinated care and treatment with the Registered Nurse (RN) in 2 (#13 and #15) of 15 (#1 - #15) clinical records reviewed.

The Agency failed to ensure all disciplines as ordered by the Physician conducted an Initial Evaluation within five days of the Start of Care (SOC) as part of the Comprehensive Assessment in 2 (#2 and #7) of 11 (#1 - #8 and #11 - #14) Clinical Records reviewed.

The Agency did not ensure a Registered Nurse conducted a Drug Regimen Review (DRR - review of medication regimen related to potential adverse effects, drug reactions, significant side effects or significant drug interactions) to include all current and added medication the patient was taking in 4…

Staff did not follow Physician orders for visit frequency in 9 (#1, #2, #5, #6, #7, #11, #12, #13, and #14) of 15 (#1 - #15) records reviewed.

The Agency did not communicate with all Physicians involved in the Patient's Plan of Care (POC) in 1 (#13) of 15 (#1 - #15) clinical records reviewed.

The Registered Nurse (RN) did not provide timely oversight of the Aide through on-site Supervisory Aide Visits (SAV) every 14 days in two (#2 and #11) of four (#1, #2, #11, and #12) clinical records reviewed with orders for Aide services.

The Agency failed to develop Performance Improvement Projects (PIP) in 2 of 2 years (2018 and 2019) for Quality Assessment / Performance Improvement (QAPI) program activities or data.

The Registered Nurse (RN) failed to ensure written instructions for the aide services regarding the patients personal care activities were specific and individualized in 1 (#13) of 4 (#6, #10, #13, and #14) Clinical Records reviewed with aide services ordered.

The Agency failed to ensure Criminal History Record Checks (record #1) and Arkansas Department of Health (ADH) Determination Letters (records #1 - #3) were present and current (no less than one time every five years as required for continued employment) in Aide Personnel Records reviewed.

The Agency staff failed to ensure current and accurate documentation of medications in 1 (#14) of 17 (#1 - #17) Clinical Records reviewed.

Staff interview the Agency failed to ensure a complete Discharge/Transfer Summary was completed upon transfer in 4 (#3 - #6) of 6 (#1 - #6) Clinical Records reviewed with transfer/discharge status.