Givingback 3 Inc

The agency failed to provide a Quality Assurance Performance Improvement (QAPI) program as documented over 3 of 3 survey days.

The agency failed to evidence the Governing Body assumed responsibility for managing home health services, failed to provide services to Medicare-insured patients for the last 14 months of 30 months as a participant as a home health agency in the Medicare program, failed to ensure the Administrator…

The agency failed to follow physician orders on the plan of care for 1 (Patient #5) of 4 active clinical records reviewed.

She reported the owner wrote the information on their last application for a state license renewal but did not submit any other paperwork necessary to meet the requirement for opening a branch.

The Governing Body failed to demonstrate they were responsible for informing the state home health licensing agency of changes in service areas and review of the Quality Assurance Performance Improvement Plan (QAPI) for 2 of 3 years the Agency has operated.

The agency failed to ensure patient’s rights by maintaining secure and confidential storage of clinical records over 1 of 3 survey days.

The agency failed to provide the Administrator’s name to the patients for 3 of 3 home visit observations.

The agency failed to ensure patients received all services included in the plan of care 1 (Patient #5) of 4 active clinical records reviewed.

The agency failed to provide services for 1 (Patient #5) of 4 active patients because of the condition of the patient's residence.

The agency failed to make efforts to resolve problems in 1 (Patient #5) of 1 active clinical record reviewed with Home Health Aide services (HHA) and Skilled Nursing (SN) services.

The agency failed to notify the physician of services not being provided according to the orders on the plan of care for 1 (Patient #5) of 4 active clinical records reviewed.

The agency failed to evidence the Administrator was appointed by the Governing Body.

The agency failed to evidence the Alternate Administrator was appointed by the Governing Body.

The agency failed to submit a proposed branch location and failed to obtain approval for operating a branch for 1 of 1 branch locations observed.