Faith Home Healthcare

The agency failed to maintain an updated emergency preparedness communication plan.

The agency failed to ensure that the encoded OASIS data accurately reflected the patient's status at the time of assessment in one of five full records reviewed (Record/Patient #2).

The home health agency failed to follow accepted standards of practice for infection prevention in two (Records/Patients #2 & #3) of three patients sampled where home visit observations were completed.

The agency failed to inform and obtain written consent in advance of treatment of the discipline that would furnish care in one (Patient #1) of five full records reviewed.

The agency failed to ensure patients were accurately advised of the state toll free home health telephone hot line contact information in five (Records/Patients #1, #2, #3, #4 and #5) of five records reviewed for patient rights . The deficient practice has the potential to affect all of the agency…

The agency failed to review all of the patient's current medications to maintain an accurate/updated medication profile in, but not limited to, one (Record/Patient #1) of three home visit observations (Example #1).

The agency failed to ensure that each patients' written individualized care plan included relevant and required elements in, but not limited to, two (Records/Patients #1 & #2) of five full records reviewed.

The agency failed to ensure all skilled professionals providing service conducted ongoing assessments of the patient in, but not limited to, one (Record/Patient #1) of five records reviewed.

The agency failed to provide skilled nursing services as ordered by the physician on the plan of care (POC) in one (Record/Patient #5) of five full records reviewed.

The home health agency failed to ensure licensed practical nurse services were appropriately supervised by a registered nurse for patient health needs and status in one (Record/Patient #3) of five records reviewed.

The agency failed to: - Provide an individualized plan of care (POC) that included all the required components (G574); and - Ensure the home health agency (HHA) staff promptly alerted the relevant physician(s) or allowed practitioner(s) to any changes in the patient's condition or needs that…

The agency failed to provide the correct administrator’s name to patients in order to receive complaints.

The agency failed to provide the correct hours of operation for the state toll-free home health hotline and that its purpose is to receive complaints or questions about local home health agencies.

The agency failed to assure that the individualized patient plan of care (POC) included the supplies and equipment required, patient-specific interventions and education, and measurable outcomes and goals in three (Record/Patient #2, #3, and #4) of four full records reviewed.

The agency failed to promptly alert the physician to changes in the patient's condition that may suggest a need to alter the plan of care (POC) in one (Record/Patient #2) of four full records reviewed.

The agency failed to develop and provide the patient and/or representative with a written notice of patient rights that included all required information.

The home health agency failed to ensure the comprehensive assessment met the needs of the patients and resulted in an immediate jeopardy level finding in the following areas: - The clinician must conduct an initial assessment visit to determine the immediate care and support needs of the patient…

The agency failed to: - Provide each patient an individualized written plan of care (G572); - Promptly alert the relevant physician of changes in the patient's condition that may suggest a need to alter the plan of care (G590); - Provide a visit schedule, including frequency of visits to the…

The agency failed to organize, manage, and administer its resources to attain and maintain the highest practicable functional capacity, including providing optimal care when the agency failed to show adequate governing body, administrative, and clinical manager oversight to patients resulting in…

The agency failed to provide each patient with an individualized plan of care that was established by the physician in, but not limited to, two (Record/Patient #3 and #4) of five records reviewed.

The agency staff failed to follow accepted standards of practice for one (Record/Patient #3) of three patients observed during home visits.

The agency failed to organize, manage, and administer its resources to attain and maintain the highest practicable functional capacity, including providing optimal care when the agency failed to show adequate governing body, administrative, and clinical manager oversight to patients resulting in…

The agency failed to show the clinical manager was responsible for assuring that the patient needs were continually assessed and the development, implementation, and updates of the individualized plan of care were completed.

The agency failed to ensure all documented entries included appropriate authentication that included the correct date and time the plan of care was completed in, but not limited to, one (Record/Patient #3) of five full records reviewed.

The agency failed to provide the patient and representative (if any) correct contact information for the current home health agency administrator, to receive complaints in, but not limited to, two (Records/Patients #1 and #3) of three home visits conducted.

The agency failed to update the written notice of patient rights to include that the patient has the right to be advised of the names, addresses, and telephone numbers of the Federally-funded and state-funded entities that serve the area where the patient resides and to include the name, address…

The agency failed to include that the HHA (home health agency) must arrange a safe and appropriate transfer to other care entities when the needs of the patient exceed the HHA's capabilities The deficient practice has the potential to affect the knowledge and comprehension of the rights and…

The agency failed to provide the written notice of patient rights to meet the requirements to include that the agency must advise the patient or representative, physicians, and healthcare professionals who will be responsible for providing care after discharge, when a discharge for cause is being…

The agency failed to include that if the patient is being considered for a discharge for cause, the agency must make efforts to resolve the problem(s) presented by the patient's behavior, the behavior of other persons in the patient's home or situation.

The agency failed to include that if the patient is being considered for a discharge for cause, the agency must provide the patient or representative with contact information for other agencies or providers who may be able to provide care after discharge.

The agency failed to provide the written notice of patient rights to meet the requirements that the agency must document the problem and efforts made to resolve the problem, if the patient is considered for a discharge for cause.

The agency failed to ensure an initial assessment visit was provided to patients within 48 hours of referral, or within 48 hours of return to home, or on the physician-ordered start of care date, in two (Records/Patients #3 and #4) of five full records reviewed.

The agency failed to ensure the comprehensive assessment accurately reflected the patient's status and included at a minimum the patient's current health status when the skilled nurse failed to provide a complete assessment of the patient's: Problem #1- Pain and pain management regimen; Problem #2-…

The agency failed to ensure the patient's medications were reconciled during the start of care comprehensive assessment and that the medication profile was updated with medication changes in, three (Records/Patients #3, #1, and #2) of five full records reviewed.

The agency failed to promptly alert the physician to changes in the patient's condition that may suggest a need to alter the plan of care (POC) in one (Record/Patient #4) of five records reviewed.

The agency failed to ensure each patient received written information related to visit schedule/instructions in, but not limited to, two (Record #1 and #3) of three applicable home visits.

The agency failed to ensure each patient received updated/current written instructions related to the patient's medication schedule in, but not limited to, one (Record/Patient #3) of three home visit observations.

The agency failed to provide the patient/caregiver with a copy of written instructions of any treatments being administered by the agency in, but not limited to, one (Record/Patient #3) of three home visit observations.

The agency failed to provide in writing the name and contact information of the clinical manager in, but not limited to, two (Patient # 1 and #3) of three home visit observations.

The agency failed to ensure that skilled nursing followed the physician's orders as indicated on the patient's individualized plan of care related to skilled nursing visit frequency in two (Record/Patient #1 and #5) of five records reviewed.

The agency may not train or competency evaluate their home health aides for a period of two (2) years following the date of this survey.

The agency failed to show the administrator or alternate administrator were responsible for all day-to-day operations of the agency.

The agency failed to request and obtain results of findings of the Family Care Safety Registry (FCSR) prior to patient contact for four employee (Employee #1, #2, #3 and, #4) of five personnel files.

The agency failed to ensure a transfer summary was sent within two business days of a planned transfer to the receiving facility in two (Record/Patient #3 and #6) of two discharge records reviewed.