Firstat Nursing Services- Ft Lauderdale

The Home Health Agency failed to inform 5 of 12 sampled active patients of expected coverage of charges for services or of any expected patient responsibilities before the initiation of care (Patient #1, #2, #4, #7, and 11).

The Home Health Agency (HHA) failed to provide their patients with a copy of their requested clinical records within the mandated extended Federal deadline of 10 business days for 2 of 3 sampled patients (Patient #1 and #2).

The Home Health Agency failed to ensure their Comprehensive Emergency Management Plan was approved by the Florida Department of Health, as required.

The Home Health Agency (HHA) failed to provide services according to the patient's Plan of Care for 4 of 10 sampled patients (Patient #1, #6, #9 and #10).

The HHA failed to follow their Policy and Procedure and ensure a clean or aseptic technique was maintained during a PICC (Centrally Placed Intravenous Cather) line access dressing change for 1 of 1 sampled patients with a PICC line (Patient #1).

The Home Health Agency (HHA)'s Administrator failed manage the day-to-day operations to ensure their Comprehensive Emergency Management Plan was approved by the Florida Health Department.

Failed to ensure the implementation and updates to the patient's Plan of Care for 4 of 10 sampled patients (Patient #1, #6, #9 and #10).

The HHA (Home Health Agency) failed to ensure the DON (Director of Nursing), as the Clinical Manager, provided oversight in making patient and personnel assignments, as evidenced by the failure to ensure an oversight process for the non- acceptance of patients by the HHA's LPN (Licensed Practical…

The Director of Nursing (DON) failed to assure communication with the physician involved in the care of their patients for 1 of 3 sampled patients (Patient #1).

The Home Health Agency's Skilled Nurse failed to completely document a "Missed Visit," for 1 of 3 sampled patients (Patient #3).