First Choice Home Health Services, Inc

The agency failed to develop and provide the patient and/or representative with a written notice of patient rights that included all required information based on the new home health regulations effective 01/13/18. The agency failed to provide in writing, in advance of furnishing care the following…

The agency failed to ensure: - The necessary components were accurately included on the plan of care (G574) - All drugs, services, and treatments are administered only as ordered by a physician (G580) - The relevant physician was promptly alerted to any changes in the patient's needs that suggest…

The agency failed to address a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains the availability of records.

The agency failed to address the use of volunteers or other staffing strategies during the activation of the emergency preparedness plan.

The agency failed to conduct exercises to test the emergency plan at least annually.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the notice that if a patient has been adjudged to lack legal capacity to make health care decisions under state law by a court of proper…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that information must be provided to patients in a language and in a manner that is accessible and timely to persons with disabilities…

The agency failed to ensure the nursing staff followed accepted standards of practice, including the use of standard precautions, to prevent the transmission of infections and communicable disease in one (Record/patient #2) of three home visit observations conducted.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include: - Transfer and discharge policies; - Rights and responsibilities that are understandable to persons who have limited English…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the administrator's name and contact information in order to receive patient complaints.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include verbal notice of the patient's rights and responsibilities in the individual's language, free of charge, no later than the completion of…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the written notice to the patient about their right to have a copy of the patient's rights and responsibilities provided to a…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient has the right to be free from verbal, mental, sexual and physical abuse, including injuries of unknown source, neglect and…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient has the right to participate in, be informed about, and consent or refuse care, with respect to completion of all…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient has the right to receive all services outlined in the plan of care The deficient practice has the potential to affect the…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient has the right to be advised of financial liability changes as soon as possible, in advance of the next home health visit.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient has the right to be advised of the names, addresses, and telephone numbers of federal and state-funded entities that serve…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient has the right to be informed of the right to access auxiliary aids and language services and how to access these services.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the patient and representative (if any) have a right to be informed of the agency's policies for transfer and discharge when the…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the patient and representative (if any) have a right to be informed of the agency's policies for transfer and discharge when the…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient and representative (if any) have a right to be informed of the agency's policies for transfer and discharge if the physician…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the patient and representative (if any) have a right to be informed of the agency's policies for transfer and discharge when the…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency policy for discharge for cause: - Determines that the patient's or other persons in the home, behavior is disruptive…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must advise the patient or representative, physicians, and healthcare professionals who will be responsible for…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that if the patient is being considered for discharge for cause, the agency must make efforts to resolve the problem.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that if the patient is being considered for discharge for cause, the agency must provide the patient or representative with contact…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must document the problem and efforts made to resolve the problem, if the patient is considered for discharge for cause.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the patient and representative (if any) have a right to be informed of the agency's policies for transfer and discharge if the…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include the patient and representative (if any) have a right to be informed of the agency's policies for transfer and discharge if the agency…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must investigate mistreatment, neglect, or verbal, mental, sexual, and physical abuse, including injuries of unknown…

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that the agency must take action to prevent further potential violations while investigating a complaint.

The agency failed to update the written notice of patient rights to meet the requirements of the new federal home health regulations effective 01/13/18 to include that any agency staff in the normal course of providing services to patients, who identifies, notices, or recognizes incidences of…

The agency failed to ensure the comprehensive assessment included psychosocial information to accurately reflect the patient's status in, but not limited to, two (Record/Patient #2 and #6) of five records reviewed for this standard.

The agency failed to ensure a complete drug regimen review is completed on the start of care comprehensive assessment and whenever there are medication changes in two (Record/Patient #2 and #3) of five records reviewed for this standard.

The agency failed to ensure the individualized plan of care (POC) contained accurate information in all areas in one (Record/patient #2) of five records reviewed for this standard.

The agency failed to ensure conformance with physician orders when treatments and medication were not administered as the physician ordered in three (Record/patient #2, #3, and #5) of five records reviewed for this standard.

The agency failed to ensure the physician is alerted to any changes in the patient's needs that suggest that the plan of care (POC) should be altered in one (Record/patient #4) of five records reviewed.

The agency failed to ensure the revised plan of care (POC) reflected the current information from the patient's updated comprehensive assessment in one (Record/patient #3) out of five records reviewed for this standard.

The agency failed to ensure changes in the patient's health status was communicated to the patient's representative, caregiver, and all physicians issuing orders for the plan of care (POC) on one (Patient/Record #1) of 6 records reviewed.

The agency failed to ensure the patient/caregiver was provided a copy of written instructions outlining the visit schedule, including frequency of visits by all agency personnel in two (Record/Patient #1 and #2) out of three home visit observations conducted.

The agency failed to ensure the patient/caregiver was provided a copy of written instructions outlining the patient medication schedule/instructions, including which medications will be administered by agency personnel in two (Record/Patient #1 and 2) of three home visit observations conducted.

The agency failed to ensure the patient/caregiver was provided a copy of written instructions outlining any treatments to be administered by the agency personnel in two (Record/Patient #1 and 3) of three home visit observations conducted.

The agency failed to ensure communication with the physician involved in the plan of care (POC) in, but not limited to, four (Record/Patient #1, # 2, #3, and #4) of five records reviewed.

The agency failed to ensure a completed discharge summary is sent to the responsible physician within five business days of the patient's discharge in one (Record/Patient #4) of two discharge records reviewed.