Genesis Home Health Services

The facility failed to ensure that two of three staff followed disinfectant wipe directions when cleaning equipment after use on two of two patients during home visits (Patient (P) 2 and P1) from two of three home visits observed.

The facility failed to ensure an initial patient assessment was completed within 48 hours of referral for one of seven sampled patients (Patient (P) 1) reviewed for assessments.

The facility failed to ensure supervisory visits were conducted every fourteen days for one of four sampled patients (Patient (P) 2) who received Home Health aide services out of a total of seven patients sampled.

The Home Health Agency (HHA) failed to develop, implement and maintain an ongoing home health-wide data driven Quality Assessment and Performance Improvement (QAPI) program.

The home health agency (HHA) failed to develop an infection control program that included analysis of surveillance data in an effort to improve care practices (see G684) The HHA failed to provide an effective infection control education program to the HHA's skilled nursing staff and physical…

The facility failed to ensure timely submission of the 16 random patients OASIS assessments during a period of 01/14/19 through 04/24/19. This deficient practice could cause a delay in patients' payments and services.

The agency failed to maintain a Quality Assurance Performance Improvement (QAPI) program which measured, analyzed, and tracked quality indicators demonstrating improvement in outcomes and quality of care.

The Home Health Agency (HHA) failed to collect data and analyze data collection to implement preventative actions and make systemic improvement in HHA operations.

The home health agency (HHA) failed to develop a quality assessment and performance improvement (QAPI) program that tracked adverse patient events, analyzed their causes, and implemented preventive actions.

The agency failed to initiate and document a "Performance Improvement Project (PIP)" that would reflect the scope and complexity of services and demonstrate progress toward identified measurable goals.

The agency failed to maintain a program for identification, prevention, control, investigation, and analysis of infectious disease.

The home health agency failed to ensure annual infection control education was provided for 21 of 30 agency staff.

The facility failed to ensure one patient out of seven sampled patients (Patient (P) P1) was discharged from the skilled nursing services included a physician's order for discharge.

The Home Health Agency (HHA) failed to develop a Quality Assessment and Performance Improvement (QAPI) program that included high risk, high volume or problem prone areas.

The home health agency (HHA) failed to develop a quality assessment and performance improvement (QAPI) program that considered incidence, prevalence and severity of problems in high risk, high volume areas.

The facility failed to ensure Home Health Aide (HHA) supervisory visits were conducted for three of seven patients (Patients (P) P2, P3, and P5).