First Quality Home Care Inc

The agency failed to ensure the Condition of Participation for Quality Assessment/Performance Improvement (QA/PI) requirement was met by failing to ensure the implementation of an ongoing Quality Assessment Program to monitor effectiveness, safety of services, and quality of care.

The Home Health Agency failed to organize, manage, and provide Skilled Nursing (SN) services as required; the Home Health Agency failed to provide skilled nursing services and at least one other therapeutic service (physical therapy, speech-language pathology, or occupational therapy; medical…

The home health agency failed to provide documented evidence of an ongoing Quality Assurance Program Improvement Program that would measure, analyze, track quality indicators, adverse patient events, complaints, and other aspects of performance that enable the agency to assess process of care…

The Home Health Agency failed to provide skilled nursing services and at least one other therapeutic service (physical therapy, speech-language, or occupational therapy; medical social services; or home health aide services) directly.

The Home Health Agency failed to develop strategies utilizing an all-hazards approach for addressing the emergency events that were identified by the risk assessment.

The Home Health Agency failed to develop and implement an emergency preparedness plan that contained policies and procedures based on the emergency plan.

The Home Health Agency failed to develop and maintain an emergency preparedness plan that describes the mechanism to inform State and local officials of any on-duty staff that they are unable to contact.

The Home Health Agency failed to demonstrate it had provided written notice of the patient's rights and responsibilities, and the Home Health Agency's transfer and discharge policies to 2 out of 7 Sampled Patients (SP).

The Home Health Agency failed to demonstrate it obtained the patient's or legal representative's signature confirming that he/she has received a copy of the notice of rights and responsibilities for 2 out of 7 Sampled Patients (SP).

The Home Health Agency failed to establish a service agreement between the home health agency and the patient and the patient's legal representative(if any) in adavance of furnishing care to 4 out of 7 Sampled Patients (SP).

The Home Health Agency failed to demonstrate it had provided the state toll free home health telephone hot line, its contact information, its hours of operation, and that its purpose is to receive complaints or questions about local Home Health Agencies (HHAs) to 2 out of 7 Sampled Patients (SP).

The Home Health Agency failed to include in the individualized plan of care the following: a description of the patient's risk for emergency department visits and hospital re-admission, and all necessary interventions to address the underlying risk factors; and information related to any advanced…

The Home Health Agency failed to develop an Influenza and pneumococcal vaccines policy/procedure with the consultation of a physician.

The Home Health Agency failed to ensure that a Registered Nurse made an on-site visit to the location where a patient is receiving care no less frequently than every 60 days to observe and assess each Home Health Aide (HHA) while he or she is performing care for 3 out of 7 Sampled Patients (SP).

The Home Health Agency failed to supervise the Home Health Aide (HHA) on 4 of the required elements: Maintaining an open communication process with the patient, representative, caregivers, and family; Complying with infection prevention and control policies and procedures; Reporting changes in the…

The Home Health Agency failed to ensure that contact information for the patient, the patient's representative, and the patient's primary caregiver(s) were accurate for 1 out of 7 Sampled Patients (SP).

The home health agency failed to ensure home health aide services contained in the written plan of care for 1 (SP#1) out of 4 sampled patients were provided.

The home health agency failed to coordinate care delivery to meet the patient's needs for home health aide services, for 1 (SP#1) out of 4 sampled patients.

The home health aide failed to provide services ordered by the physician and included in the plan of care for 1 (SP#1) out of 4 sampled patients.

The home health aide failed to provide hands-on personal care for 1 (SP#1) out of 4 sampled patients.

The provider failed to demonstrate that an initial training in emergency preparedness policies and procedures was provided to all new and existing staff.

The provider failed to maintain clinical records that includes pertinent past and current findings in accordance with accepted professional standards for patients receiving home health services for 2 out of 10 Sampled Patients (SP).