First Hope Home Care Agency Inc

The HHA failed to provide evidence that the emergency preparedness policies and procedures were reviewed at least every two (2) years, and that an individualized emergency preparedness plan was established for two (2) of two (2) CR's reviewed: CR#1 and CR#2. Findings include: A review of the HHA's…

The agency failed to encode and electronically transmit each completed OASIS assessment to the CMS system within 30 days of completing the assessment of the beneficiary for two (2) of two (2) CR's reviewed: CR#1 and CR#2. Findings include: The HHA's Patient Information Package reviewed on October…

The agency failed to provide evidence that a discharge summary was sent to the physician for two (2) of two (2) CR's reviewed: CR#1 and CR#2. Findings include: The HHA's Policy Discharge, Transfer and Referral Policy, reviewed on October 7, 2024 at 10:00 AM reads in part, "Following the discharge…

The HHA failed to provide the patient with the names, addresses and telephone numbers of federally-funded and state-funded entities that service the area where the patient resides for two (2) of two (2) CR's reviewed: CR#1 and CR#2. Findings include: The HHA's Patient Information Package review on…

The agency failed to assure that physician orders were obtained and/or followed for two (2) of two (2) CR's reviewed: CR#1 and CR#2. Findings include: The HHA's Policy Medication Profile reviewed on October 4, 2024 at 2:30 PM reads in part, "The medication profile shall include all prescription and…

The agency failed to assure that education was provided to the patient regarding high-risk medications for one (1) of two (2) CR's reviewed: CR#2. Findings include: The HHA's Registered Professional Job Description, reviewed on October 4, 2024 at 2:30 PM states in part, "Provides skilled nursing…

The home health agency (HHA) failed to assure that performance evaluations were conducted annually, and by a discipline-specific evaluator for two (2) of five (5) PF's reviewed: PF#4 and PF#5. Findings include: The HHA's Policy "Performance Evaluation" reviewed on October 4, 2024 at 1:30 PM reads…

The governing body failed to assume full legal authority for the operation of the agency by failing to approve the appointment of a qualified administrator and supervising physician or Registered Nurse, and to disclose the name of the newly hired assistant director of patient care services.

The agency failed to develop a plan of care in accordance with agency policy and regulatory standards pertaining to the plan of care for two (2) of seven (7) clinical records (CR) reviewed (CR # 3 and 6).

The director of patient care services (DPCS) the agency failed to obtain a physician signature on the plan of care within 30 days for one (1) of seven (7) CR reviewed.

The agency failed to ensure personnel policies were followed pertaining to Hepatitis B vaccination for six (6) of six (6) PF reviewed.

The agency failed to provide documentation that a discharge summary was sent to the primary care physician within five (5) days of discharge for five (5) of five (5) discharged CRs reviewed (CR# 1, 2, 5, 6, and 7).