First Option Home Health

The agency failed to ensure the patient's written individualized POC (plan of care) was followed as evidenced by, the SN (skilled nurse) failing to obtain weights for patient (#9) and the SN failing to monitor CBG (capillary blood glucose) results for patient (#11) for 2 out of 17 sampled patients.

The agency failed to ensure Patient #2's physician was promptly alerted of a 14.2 pound weight loss in 19 days, which was noted by the skilled nurse during the skilled nurse visit made on 9/30/2023 for 1 (#2) out of 18 sampled patients.

The agency failed to coordinate care delivery to meet the patient's needs as evidenced by the agency failing to ensure the outside entity communicated the patient’s INR (International Normalized Ratio-the number that is calculated to measure the time it takes for the blood to clot) results to the…

The provider failed to meet the Condition of Participation for Skilled Professional Services as evidenced by: 1. Failing to provide services that were ordered by the physician as indicated in the plan of care; a.

The agency failed to ensure the home health agency’s administrator and director of nursing ensured an ongoing monitoring of the agency’s QAPI (Quality Assurance Performance Improvement) program and implementation of the agency’s program as evidenced by findings identified during the…

The agency failed to provide evidence of both the existence of the complaint and the resolution of the complaint that was made by Patient #10 of a complaint voiced on 10/14/2021 with an investigation and a resolution of the complaint for 1 out of a total of 17 sampled records.

The agency failed to ensure the individualized plan of care (PoC) included all pertinent diagnoses and ensure required equipment was obtained for 1 patient (#11) as evidenced by no evidence found on the PoC for the monitoring of Diabetes Mellitus, including foot care, or monitoring of a stage 1…

The agency failed to 1. The agency’s staff failed to obtain the physician’s signature within 30 days on 5 (#9, 10, 11, 12, 15) Plans of Care (POC); 2. The agency failed to ensure the patient’s (#1) POC contained an order for the skilled nurse to change the patient’s suprapubic catheter weekly For 6…

The agency failed to ensure the agency’s staff promptly alerted the physician to any changes in the patient’s condition or needs that suggest the plan of care should be altered as evidenced by: 1. No evidence that S7LPN notified the patient’s (#10) physician on 10/8/2021 that upon assessment there…

The agency failed to ensure communication with all physicians involved in the plan of care (POC) for each patient as evidenced by: 1. There was no evidence found for Patient #4 of the physician being notified of multiple visits that were not conducted by the skilled nurse; 2. There was no evidence…

The agency failed to integrate services provided by physical therapy to assure the identification of patient needs, factors that could affect the patient safety, treatment effectiveness, and the coordination of care provided by all disciplines.

The agency failed to ensure the agency’s skilled nursing provided services that were ordered by the physician as indicated in the plan of care as evidenced by: 1. There was no evidence for Patient #1 that the skilled nurses assessed the patient’s ostomy site as ordered on the PoC during the skills…

The agency failed to ensure each patient and caregiver received education for 1 patient (Patient #9), on self-infusion of an IV (intravenous) antibiotic out of a total sample of 17 (#1-17) patients reviewed.

The agency failed to ensure that home health aide services were provided for patients receiving skilled services and the agency failed to ensure RN (Registered Nurse) made onsite supervisory visits to the patient’s home no less frequently than every 14 days as evidenced by the agency not providing…

The agency failed to ensure the agency’s staff had a current assessment and documentation of clinical note as evidenced by the following: 1. No evidence found that the skilled nurse performed a visit to discharge the patient from the agency for Patient #15; 2. The skilled nurse failed to document a…

The agency failed to follow the patient's individualized plan of care (POC) as evidenced by the agency failing to provide documentation of weights as ordered on the POC for Patient #3, #6 and #9 and; failing to provide documentation of a home health aide visit made for the week of 11/18/18 for…