Glory Home Health Care Management, Inc

The Agency failed to develop policies and procedures based on the all-hazards risk assessment, and ensure each hazard was assigned a score, as required by the Agency.

In 2 of 6 (Employees #3 and 5) personnel files reviewed, the Agency failed to ensure staff receive training pertaining to the Agency's Emergency Preparedness plan.

Admission folder, observation during home visits, clinical records review, and staff interviews, it was determined in 7 of 7 (Pts. #1, 2, 3, 4, 5, 6 and 7) clinical records reviewed, the Agency failed to ensure Pts. were informed in writing of the frequency of visits provided by each discipline.

For 3 of 7 (Pts. #1, 5, and 7) clinical records reviewed, the Agency failed to ensure staff provided services in accordance with the POC, and as indicated by the Physician.

Admission folder, observation during home visits, clinical records review, and staff interview, it was determined in 7 of 7 (Pts. #1, 2, 3, 4, 5, 6 and 7) clinical records reviewed, the Agency failed to provide information pertaining to the Clinical Manager.

In 1 of 1 (Pt. #7) clinical record reviewed, wherein the Pt. received Home Health Aide services, the Agency failed to ensure the RN conducted Home Health Aide supervision every 14 days.

In 2 of 2 (Pts. #6 and 7) closed clinical records reviewed, the Agency failed to ensure the Physician was sent a copy of the Discharge Summary.

The Governing Body failed to document the appointment of the Agency's Administrator.

The Agency failed to ensure the Administrator designated in writing, a qualified Alternate Administrator to be available during his absence.

The clinical records lacked the individual emergency plans as part of the SOC comprehensive patient assessment.

The Registered Nurse did not prepare and complete written instructions for the Aide.

Agency failed to ensure that ongoing interdisciplinary assessment / communication is maintained to meet patient's needs when care is provided by different disciplines.

The Agency failed to ensure that professional staff provided services that are ordered by the physician as indicated in the plan of care.

The Agency failed to ensure that the Home Health Aide was supervised by the RN every 14 days.

The record lacked the PT visit notes after the evaluation dated 01/25/18 (week #1).