Golden Home Healthcare Pittsburgh

The agency failed to establish, maintain and review an emergency preparedness plan to include a documented, facility-based and community-based risk assessment, utilizing an all-hazards approach.

An interview with the administrator the agency failed to demonstrate the presence of systematic data collection and monitoring for infections.

The agency administrator the agency failed to maintain a Clinical Laboratory Improvement Amendments (CLIA) waiver in order to perform laboratory blood draws within the home as prescribed by the physician for one (1) of three (3) home visits observed.

The administrator failed to implement a process ensuring expired supplies were removed from clinician use.

Staff (EMP) interviews the agency failed to ensure timely countersignature of verbal orders in accordance with Chapter 601, Home Health Care Agencies for one (1) of ten (10) CR reviewed (CR7), Findings Included: Per PA Code Title 28, Health and Safety, Chapter 601, Home Health Care Agencies…

Agency staff failed to comply with accepted professional standards and practices for four (4) of ten (10) CR reviewed.

Staff (EMP) interviews the agency failed ensure annual tuberculosis screening was completed in accordance with Centers for Disease Control (CDC) guidelines for one (1) of six (6) PF reviewed (PF2).

The agency failed to ensure written summary reports sent to the patient's attending physician at least every 60 days included compilations of pertinent factors of the patients' clinical and progress notes for five (5) of five (5) CRs reviewed who received services longer than 60 days.

The agency failed to develop a plan of care (POC) that covered all pertinent diagnoses, types of services and equipment required, frequency of visits, prognosis, rehabilitation potential, functional limitation, activities permitted, nutritional requirements, medications and treatments, safety…

The RN failed to evaluate patient needs for five (5) of eight (8) CR reviewed who skilled nursing (SN) services.

The RN failed to prepare clinical and progress notes, coordinate services and/or inform the physician of changes in patient condition for one (1) of eight (8) CR review who received skilled nursing (SN) services.

The RN failed to counsel patient, families, and caregivers in meeting nursing and related needs for three (3) of eight (8) CR reviewed who received skilled nursing (SN) services.

Agency staff failed to maintain a complete ongoing medication profile for each patient in order to identify potential adverse effects, drugs reactions, ineffective drug therapy, significant side effects, drug interactions, duplicative therapies, and /or noncompliance for three (3) of eight (8) CR…