Gfk Home Health Care

The agency failed to ensure the emergency preparedness plan included the process for collaboration with the tribal, regional, and Federal emergency preparedness officials’ efforts to maintain an integrated response during a disaster or emergency situation.

The agency failed to ensure the emergency preparedness P&Ps included the procedures to inform the State and local emergency preparedness officials about the patients in need of evacuation from their residences at any time due to an emergency situation based on the patient’s medical and psychiatric…

The agency failed to ensure the agency’s emergency preparedness P&P addressed a system of medical documentation that preserves patient information, protects confidentiality of patient information, and secures and maintains availability of records.

The agency failed to ensure the emergency communication plan included a primary and alternate means of communication with the Federal, State, tribal, and regional emergency management agencies.

The agency failed to ensure the emergency preparedness communication plan included a method for sharing information and medical documentation for the patients under the HHA’s care, as necessary, with other health providers to maintain the continuity of care.

The agency failed to conduct exercises to test the emergency plan annually for the years of 2024 and 2025. This failure created the risk of the staff not knowing what to do in case of emergency.

The agency failed to ensure the OASIS data were transmitted within 30 days of completing the OASIS data sets.

The agency failed to ensure the CHHA 12-hour training was completed for one of two CHHA’s reviewed (CHHA 1).

The agency failed to ensure the initial comprehensive assessments were completed in a timely manner, consistent with the patient's immediate needs, but no later than five calendar days after the SOC date for three of seven sampled patients (Patients 2, 6, and 7).

The agency failed to ensure the medication profiles were updated to reflect the current medications and include specific indications and parameters for its use for four of seven sampled patients (Patients 1, 2, 5, and 7).

The agency failed to ensure the comprehensive assessments were updated within the last five days of every 60 days for seven of seven sampled patients (Patients 1, 2, 3, 4, 5, 6, and 7).

The agency failed to ensure the discharge assessment was completed for two of seven sampled patients (Patients 3 and 4).

The agency failed to ensure the physician was notified promptly related to the changes of conditions for one of seven sampled patients (Patient 4).

The agency failed to ensure the services were integrated in the POC for one of seven sampled patients (Patient 2).

The agency failed to provide written instructions outlining the visit schedule for one of seven sampled patients (Patient 5).

The agency failed to provide care and services as per the POC for five of seven sampled patients (Patients 1, 2, 3, 4, and 5).

The agency failed to ensure the clinical notes for three of seven sampled patients (Patients 1, 2, and 5) were accurate.

The agency failed to ensure the HHA’s RN provided supervision to the LVN to ensure quality of care and services were provided for one of seven sampled patients (Patient 2).

The agency's Administrator failed to be responsible for the agency's day-to-day operations related to not implementing the P&Ps as evidenced by: -The annual TB screening was not completed for LVNs 4, 6, and CHHA 1. -The pre-employment physical was not completed for the Nurse Supervisor, LVNs 5, 6…

The agency failed to ensure the emergency preparedness plan included strategies addressing the emergency events identified by the risk assessment, creating the increased risk of not addressing the care needs for the patients during the emergency events.

The agency failed to ensure the emergency preparedness P&P included procedures to inform the state and local officials of any on-duty staff or patients that they are unable to contact.

The agency failed to develop a communication plan that included the name and contact information of the staff, entities providing the services under arrangement, and the patients’ physicians, creating the risk of not able to contact or request for assistance during emergency events.

The agency failed to ensure the emergency preparedness communication plan included a means of providing information about the agency's ability to provide assistance to the authority having jurisdiction, the Incident Command Center, or designee.

The agency failed to ensure the initial training on the emergency preparedness P&P was provided to all new staff.

The agency failed to ensure the POC was revised for one of seven sampled patients (Patient 1), creating the risk of not providing the necessary care and services to this patient.

The agency failed to implement and maintain the infection control program including surveillance, identification, prevention, and control, creating the risk of the spread of infections.

The agency failed to ensure their COVID-19 P&P included the process by which staff may request an exemption from the COVID-19 vaccination requirements.

The agency failed to ensure the written assignment for CHHA were consistently prepared by the RN for two of seven sampled patients (Patients 2 and 6), creating the risk of not providing the necessary care and services to these patients.

The agency failed to ensure the complaints for two of seven sampled patient (Patients 3 and 6) and two nonsampled patients (Patients A and B) were thoroughly investigated, creating the risk not providing quality of care and services to these patients.

The agency failed to ensure the initial comprehensive assessments were completed in a timely manner, consistent with the patient's immediate needs for four of seven sampled patients (Patients 2, 3, 5, and 7), creating the risk of not identifying and addressing the care needs timely for these…

The agency failed to ensure the medication profiles were updated to reflect the patients' current medications and included specific indications and parameters for their use for four of seven sampled patients (Patients 1, 3, 4, and 5).

The agency failed to ensure the comprehensive assessments were updated within the last 5 days of every 60 days for seven of seven sampled patients (Patient 1, 2, 3, 4, 5, 6, and 7), creating the increased risk of not addressing the care needs for these patients.

The agency failed to ensure the POC included specific information related to the frequency of visits to be made, mental status, activities permitted, and enteral interventions for five of seven sampled patients (Patient 1, 2, 3, 4, and 7).

The agency failed to ensure the verbal orders were signed by the physician in a timely manner for two of seven sampled patients (Patients 4 and 5).

The agency failed to provide the name and contact information of the clinical manager for one of five sampled patient (Patient 5).

The agency failed to ensure the SN provided care and services in accordance with the POC for three of seven sampled patients (Patients 5, 6, and 7), creating the risk of not providing appropriate, consistent, and quality care to these patients.

The agency failed to ensure the agency's skilled professionals prepared accurate clinical notes for two of seven sampled patients (Patients 5 and 7), creating the increased risk of substandard healthcare outcomes to these patients.

The agency failed to ensure the RN provided supervision to the LVN to ensure quality of care and services were provided as per the agency's P&P for one of seven sampled patients (Patient 5), creating the risk for a substandard healthcare outcome to this patient.

The agency failed to ensure the CHHAs provided care and services in accordance with the POC for three of seven sampled patients (Patients 2, 3, and 6), creating the risk of not providing necessary care and services to these patients.

The agency failed to ensure the CHHA reported changes in the patient’s condition to a registered nurse or other appropriate skilled professional for one of seven sampled patients (Patient 3), creating the risk of not providing necessary care and services to this patient.

The agency failed to ensure the agency's RN provided supervision to the CHHA to ensure quality of care and services provided for two of seven sampled patients (Patients 2 and 3), creating the increased risk of providing substandard healthcare to these patients.

The agency's Administrator failed to ensure the responsibility for the day-to-day operations of the agency as follows: * The agency failed to ensure two employee files reviewed (LVN1 and CHHA 2) had their health assessments completed in a timely manner. * The agency failed to ensure the written…

The agency failed to ensure the interventions included in the clinical records were accurate and complete for two of seven sampled patients (Patients 2 and 3), creating the risk of substandard care provided to these patients as their clinical information were not accurate.

The agency failed to ensure the discharge summary was completed for two of seven sampled patients (Patients 6 and 7).

The agency failed to ensure the emergency preparedness plan included the strategies addressing the emergency events identified by the risk assessment, creating the potential risk of not providing the necessary care and services to the patients during the emergency events.

The agency failed to ensure the emergency preparedness plan included the process for collaboration with the local, regional, State, and Federal emergency preparedness officials' efforts to maintain an integrated response during a disaster or emergency situation, including documentation of the…

The agency failed to ensure the emergency preparedness P&P addressed the requirements for each patient's individual plan during the disasters to be included as part of the comprehensive patient assessments, creating the increased risk of not addressing the care needs for the patients during the…

The agency failed to ensure the emergency preparedness P&P addressed the procedures to inform the State and local emergency preparedness officials about the patients in need of evacuation from their residences due to an emergency situation based on the patient's medical and psychiatric condition…

The agency failed to ensure the emergency preparedness P&P addressed the procedures to follow up with the on-duty staff and patients to determine if the interruption of services occurred and inform the State and local officials of any on-duty staff or patients that they were unable to contact…

The agency failed to ensure the emergency preparedness P&P addressed a system of medical documentation that preserved the patient information, protected confidentiality of patient information, and secured and maintained availability of the records.

The agency failed to ensure the emergency preparedness P&P included the use of volunteers in an emergency or other emergency staffing strategies including the process and role for integration of State and Federally designated health care professionals to address surge needs during an emergency.

The agency failed to ensure the emergency preparedness plan included the requirement for the emergency preparedness communication plan that complies with Federal, State and local laws to be reviewed and updated at least annually, creating the risk of not providing the necessary care and services to…

The agency failed to ensure the OASIS data was transmitted within 30 days of completing the OASIS data sets, creating the risk of not reporting and coordinating patient care assessments timely for the patients receiving care and services at the HHA.

The agency failed to ensure the treatment provided by the SN was ordered by the physician for one of eight sampled patients (Patient 4), creating the risk of not providing appropriate and necessary care and services to meet the care needs for these patients.

The agency failed to ensure the clinical records were complete for four of eight sampled patients (Patients 1, 2, 6, and 7), creating the risk of substandard care provided to these patients as their clinical information was not complete.

The agency failed to ensure the grievance was thoroughly investigated for one nonsampled patient (Patients A), creating the risk of violating the patient's rights and not providing quality of care and services to this patient.

The agency failed to ensure the resolution of the complaint was documented for one nonsampled patients (Patient B), creating the risk of violating the patient's rights and not providing quality of care and services to this patient.

The agency failed to ensure the initial comprehensive assessment was completed in a timely manner, consistent with the patient's immediate needs, but no later than five calendar days after the SOC date for one of eight sampled patients (Patient 4), creating the risk of not identifying and…

The agency failed to ensure the update comprehensive assessments were completed within the last 5 days of every 60 days for four of eight sampled patients (Patients 1, 2, 6, and 7), creating the increased risk of not addressing the care needs for these patients.

The agency failed to ensure the POCs included frequency and duration of the SN visits, wound care, and weights for three of eight sampled patients (Patients 1, 4, and 5), creating the risk of not addressing the care needs for these patients.

The agency failed to ensure the coordination of care for three of eight sampled patients (Patients 1, 2, and 8), creating the risk of not providing necessary care and services to these patients.

The agency failed to ensure the skilled professionals provided care and services in accordance with the POC for five of eight sampled patients (Patients 1, 2, 6, 7, and 8), creating the risk of not providing appropriate, consistent, and quality care to these patients.

The agency failed to ensure the agency's skilled professionals accurately prepared the clinical notes for five of eight sampled patients (Patients 1, 3, 4, 6, and 8), creating the increased risk of substandard healthcare outcomes to these patients.

The agency failed to ensure the agency's OT communicated with the physician about the specific treatment for one of eight sampled patients (Patient 5), creating the increased risk of substandard healthcare outcome to this patient.

The agency failed to ensure the agency's RN provided supervisions to the SN to ensure the quality of care and services provided for three of eight sampled patients (Patients 2, 6, and 7), creating the risk of substandard healthcare outcomes for these patients.

The agency's Administrator failed to be responsible for the day-to-day operations as the agency's P&Ps related to employee orientation, pain assessment, and physician's order were not implemented for two of eight sampled patients (Patients 2 and 4) and one employee (LVN 1), creating the risk of…