Family Home Health Care Inc

The agency failed to ensure services and treatments were administered by staff only as ordered by a physician in 1 of 5 active patients reviewed (Patients #7).

The agency failed to ensure clinical records contained accurate documentation of patient's clinical notes for 1 of 5 active patient records reviewed (Patient #4).

The agency failed to implement a quality assessment and performance improvement (QAPI) which evaluated all agency services and complied with the requirements and standards set forth in CFR 484.65. The failure created the potential for the agency to overlook trends which affected the quality of…

The agency failed to provide physician ordered CNA services by qualified staff.

The agency failed to ensure all persons furnishing services to patients were licensed, certified, or registered in accordance with state standards and regulation.

Continued investigation revealed other condition level and standard deficient practices, which showed the administration failed to provide basic functional oversight of the operations of the agency.

The agency failed to ensure services and treatments were provided in conformance with physician orders for wound care for 1 of 1 patient reviewed who was ordered to receive wound care (Patient #1).

The agency failed to ensure the registered nurse (RN) and the home health aide (HHA) staff complied with standards of practice pertaining to the prevention of infectious and communicable diseases transmission during the provision of care for 1 of 3 patients observed during a home visit (Patient #1).

The agency failed to ensure patient-specific written care instructions for the Home Health Aide (refered hereafter as certified nurse aide (CNA)) were prepared by the registered nurse (RN) for 1 of 1 patient reviewed who received CNA services that included a bowel program (Patient #4).

The agency failed to ensure all staff who provided certified nurse aide (CNA) services for the agency were certified in accordance with the state licensing authority and deemed competent to carry out assigned patient care tasks, in a safe, effective and efficient manner.

The agency failed to ensure clinical records contained accurate and complete documentation of pertinent past and current findings in accordance with accepted professional standards for 1 of 8 patients reviewed (Patient #1).

The agency failed to provide certified nurse aide (CNA) care for patients by staff who were qualified through formal training, testing and certification through the Colorado State Department of Regulatory Agencies (DORA).

The agency failed to ensure the agency home health aides provided services as ordered by the physician, included in the plan of care, permitted to be performed under state law and were consistent with certified nurse aide (CNA) training for 5 of 6 patients reviewed receiving CNA services -…

The agency's supervision of the home health aides (HHA) failed to ensure the HHAs furnished care in a safe and effective manner including ensuring their competency with assigned tasks along with their adherence to the HHA care plan as required for 2 of 6 patients reviewed who received physician…

The Administrator who was also the Chief Executive Officer of the agency failed to adequately and effectively organize and direct the agency's ongoing functions in accordance with the requirements for home care under state and federal standards and law.

Failed to ensure the home health agency employed qualified nurse aides.