Forever Home Care, LLC

The Agency failed to ensure the Initial Comprehensive Assessment was conducted within 48 hours of the date of referral for 1 (P-2) record in which start of care services was delayed, from a total of 9 sampled records reviewed, resulting in delay in needed care and services and the potential for…

The Agency failed to provide documentation that it had participated in the community based full-scale exercise required every two years, resulting in the potential for patients and staff not to be properly prepared in the event of an actual emergency.

The Agency failed to utilize collected data in its Quality Assessment and Performance Improvement (QAPI) program to quantitatively track and trend specified patient quality control measures, resulting in the potential for poor patient outcomes due to the provision of substandard care for all 20…

The Agency failed to develop a Quality Assessment Performance Improvement (QAPI) program that documented any performance improvement projects, the reasons for conducting these projects along with measurable tracking and trending measures to ascertain progress achieved during the last three years…

The Agency failed to ensure the Skilled Nurse prepared clear written patient care instructions for the home health aide regarding client needs and frequency of visits in 1 (P-2) record in which Home Health Aide services were ordered, from a total of 9 sampled records reviewed, resulting in the…

The agency failed to ensure that at least one qualifying service was provided directly by agency employees, resulting in the potential for interruption in continuity of care and unmet care needs.

The Agency failed to ensure the Initial Comprehensive Assessment was conducted within 48 hours of the date of referral for 1 (P-2) record in which start of care services was delayed, from a total of 9 sampled records reviewed, resulting in delay in needed care and services and the potential for…

The agency failed to ensure the comprehensive assessment accurately reflected the patient's current health status and needs in 1 (P-4) of 9 total sampled records reviewed, resulting in incomplete clinical information towards determining the needs of these patients.

The Agency failed to ensure the patient's needs concerning wound care and diagnosis of congestive heart failure (CHF) were adequately met in the patient's home for 1 (P-4) of 1 record reviewed with a significant change in condition, from a total of 9 records reviewed, resulting in unmet care needs…

The agency failed to ensure that a Registered Nurse (RN) had performed a medication reconciliation review as required (P-3, P-6) at the time, from a total sample of 9 records reviewed, resulting in the potential for harmful medication effects for all 20 patients currently receiving services from…

The Agency failed to ensure the Comprehensive Assessment was updated and completed at the time of discharge from the agency's services in 1 (P-2) of 4 discharged records, from a total of 9 sampled records reviewed, resulting in no indication of the patient’s progression towards their identified…

The agency failed to ensure the plan of care included reportable pain parameters in which to notify the physician, objectively measurable goals specific to the individualized needs of the patient in 5 records (P-1, P-2, P-5, P-6, P-7,) and failed to include safety precautions for 1 record (P-7)…

The agency failed to ensure the patient was advised of the ordered discipline's visit frequency prior to the provision of care and services for 1 (P-2) patient ordered to receive home health services, from a total of 7 sampled records reviewed, resulting in the patient not having a say in the…

The Agency failed to ensure Skilled Nursing and Medical Social Work services were provided as ordered by the Physician and the Plan of Care for 2 (P-1, P-2) patients who required the needed services, from a total of 9 sampled records reviewed, resulting in the potential for unmet care needs and…

The agency failed to ensure the clinical record was complete and included clinical notes, discharge summary, and required comprehensive assessments for 2 (P-1, P-3) of 9 records reviewed, resulting in the physician not having a clear and concise clinical picture of the patient's health status…

The agency failed to ensure a detailed discharge summary was complete and sent to the physician within 5 days of the date of discharge in 4 (P-1, P-2, P-4, P-7) of 4 discharge records, from a total sample of 9 records reviewed, resulting in a lack of information to ensure continuity of care.

The agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, and history of events leading to current home care needs; and…

The agency failed to ensure the goals on the plan of care were patient specific and measurable in 7 of 7 records reviewed (MR# 1, 2, 3, 4, 5, 6, 7) out of 7 total records sampled; and failed to ensure the patient's plan of care included all medications used by the patient in 2 out of 2 home visits…

The Agency failed to provide initial training in emergency preparedness policies and procedures to all staff, including contract employees, for a potential of inappropriate and unprepared staff response to emergencies and interruption in the provision of needed patient care and services.

The home health agency failed to develop a Quality Assessment and Performance Improvement (QAPI) policy and program that measure, track and analyze its quality indicators in order to assess the processes of care and services, provided by the agency, resulting in the inability to improve patient…

The agency failed to collect and monitor data for the Quality Assessment and Performance Improvement (QAPI) program, to ensure the effectiveness and safety of services and quality of care to the patients and to identify opportunities for improvement, and there was no documented evidence the…

The Governing Body failed to ensure the agency developed and maintained an active and functioning Quality Assessment and Performance Improvement (QAPI) program that fulfilled all of the regulatory requirements of this section.

The Home Health Agency (HHA) failed to ensure the patient and their family/representative was notified of their rights, and failed to obtain the patient's family/representative's signature confirming receipt of the patient rights in 1 of 1 records reviewed in which the patient had cognitive…

The Home Health Agency (HHA) failed to provide 5 of 5 current active patients (M.R. #1, 2, 3, 4 and 5) the Michigan toll free home health complaint hotline telephone number resulting in patient's not having an additional avenue for complaints about their home care services.

The Home Health Agency (HHA) failed to advise 5 of 5 current active patients of the names, addresses, and telephone numbers of the Federal and State funded agencies that provide service in the following counties: Macomb, Oakland, Saint Clair, Wayne, Monroe, Lapeer, Washtenaw, Livingston and…