Forte Home Health Care Inc

The agency failed to provide services per the plan of care for 1 of 1 home observation of a patient in a group home (Patient #2).

The agency failed to ensure written home health aide (HHA) care plans were developed by a registered nurse (RN) that included patient specific interventions for 2 of 4 active records reviewed of patients residing in own home (Patient #1, 4).

The agency failed to ensure the plan of care (POC) included all pertinent diagnoses for 1 of 5 active record reviewed with skilled nurse respite only services (Patient #8), and failed to ensure the POC included the correct strength of dosage for administration of medications for 3 of 5 active…

The agency failed to ensure all staff followed standard precautions and infection control for 1 of 3 home visits observed (#9).

The agency failed to ensure documentation of both the complaint and resolution was completed for 1 of 3 complaints reviewed in the 2021 complaint log (#8).

The agency failed to complete a review of medications that included the potential for adverse reactions, drug interactions, and duplicate therapy for all records reviewed.

The agency failed to ensure the comprehensive assessment was updated within the last 5 days of the 60-day period for 7 of 10 patients (#1, 2, 3, 6, 7, 8, 9), and failed to ensure the agency policy accurately represented the regulation.

The home health agency failed to ensure all patients’ plans of care included (but not limited to) all equipment; all activities permitted; all medications and treatments; all safety measures; and measurable goals for 7 of 10 records reviewed (#2,4,5,6,7,8,9).

They agency failed to ensure the administrator reported to the governing body with no intermediaries.

The clinical manager failed to ensure the individualized plans of care included (but not limited to) HHA (home health aide) tasks and wound management in 4 of 10 records reviewed (#2,6,8,9).

The agency failed to ensure the clinical record included the time of medication administration and the effectiveness of as needed (PRN) medication in 1 out of 2 patients receiving skilled nursing services (#10).

The agency failed to ensure it could provide services as needed by the patients on hold (see G570); failed to ensure the frequency range for services were individually matched to the patient's needs and failed to include all safety measures to protect patients against injury for patients with…

The agency failed to ensure all staff followed infection control policies and procedures for 1 of 3 home visit observations (# 18).

The agency failed to ensure the home health aide (HHA) assignments were accurate based on patient assessments for 2 of 2 clinical records reviewed with HHA services ordered.

The agency failed to adequately meet the home health aide (HHA) needs for 12 of 17 patients on hold for various reasons which included, the preferred staff was unavailable for 4 of 14 records reviewed (# 6, 14, 16, and 23); staff moved in with client so new staff pending for 1 of 14 records…

The agency failed to transfer and/or discharge patients who were either hospitalized and/or sent to a rehabilitation center in 2 of 2 patients (# 17, and #19) who had agency services placed on hold due to hospitalization.

The agency failed to complete a comprehensive assessment every 60 days for 10 of 25 patients reviewed (6, 8, 9, and 10, 11, 15, 19, 20, 22, 23).

The agency failed to ensure the frequency range for services were individually matched to the patient's needs in 10 of 25 records reviewed (#1, 2, 4, 5, 6, 8, 9, 10, 14 and 16), and failed to include all safety measures to protect patients against injury in 2 of 2 records reviewed for patients with…

The agency failed to ensure resumption of care orders were obtained after being on hold and that revised plans of care had been accurately requested and contained current and accurate information from the updated comprehensive assessment when sent to the physician for approval for 10 of 13 clinical…

Based on clinical record review the nurse failed to write an order to discontinue a medication after making a handwritten note to discontinue a medication in 1 of 25 clinical records reviewed (#6).

The agency failed to ensure home health aide (HHA) services had been provided as ordered on the plan of care for 4 of 6 active HHA only clinical records reviewed.

The clinical manager failed to ensure staff were available and assigned to patients to provide care for 11 of 17 patients on hold for various reasons which included, the preferred staff was unavailable for 7 of 13 records reviewed (# 6, 9, 14, 16, 22, and 23); staff moved in with client so new…

The clinical manager failed to ensure patient needs were continually assessed, failed to ensure revised plans of care had been accurately requested and contained current and accurate information from the updated comprehensive assessment when sent to the physician for approval for 11 of 13 clinical…

The director of nursing failed to ensure the implementation of safety measures and updates to the plan of care to include all safety measures to protect patients against injury in 2 of 2 records reviewed for patients with G-tubes (gastric feeding tubes) (#6 and #7).