Good Samaritan Society Home Care

The agency failed to follow a Plan of Care established and periodically reviewed by a physician or notify the physician of the need to vary frequency of visits or inability to perform treatments/services as originally ordered on the Plan for Care for 3 of 5 sampled patients with orders for Physical…

The agency failed to include all supplies/equipment and medications in Plans of Care for 1 of 3 sampled patients with home visit observations, Patient #3. Failure to maintain complete and accurate Plans of Care with current orders placed the patients at risk to not receive services according to…

The agency failed to comprehensively provide wound assessments for 1 of 2 sampled patients with wounds, Patient #3. Failure to accurately and thoroughly complete wound assessments placed patients at an increased risk of unidentified condition changes.

The agency failed to ensure each patient received home health services that are written in the individualized plan of care (See G572).

The agency failed to follow a Plan of Care established and periodically reviewed by a physician for 1 of 4 sampled patient's (Patient #4).

The agency failed to follow a Plan of Care established and periodically reviewed by a physician or notify the physician of the need to vary frequency of visits or inability to perform treatments/services as originally ordered on the Plan for Care for 4 of 7 sampled patients (Patients #2, #3, #5 and…

The agency failed to include an individualized assessment relating to the patient's current health status when completing comprehensive assessments for 2 of 4 sampled patients with wounds (Patients #1 and #2).

The agency failed to ensure accurate completion of all required components of the recertification comprehensive assessments between day 56 and 60 of each 60 day certification period for 1 of 5 sampled patients requiring a recertification assessment (Patient #3).

The agency failed to ensure the accurate completion of all components compromising the Plan of Care, including all supplies/equipment and medications used by the patient for 3 of 3 sampled patients with surveyor home visit observation (Patients #1, #2 and #3).

The agency failed to ensure agency staff provided wound care treatments only as ordered by the physician for 3 of 4 sampled patients (Patients #1, #2 and #7) with wounds.

The agency failed to provide medication lists to the patient/caregiver that included medication name, dosage, frequency, administration times for 3 of 3 sampled patients (Patients #1, #2 and #3) with a home visit observation.

The agency failed to ensure agency staff provided written information on treatments to be administered by agency staff to the patient/caregiver for 3 of 3 sampled patients (Patients #1, #2 and #3) with a home visit observation.

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician and/or as directed by the skilled professional assigning the home health aide to the patient for 1 of 3 sampled patients receiving home health aide services (Patient #4).

The agency failed to ensure agency staff included documentation on all interventions for treatments and services and patient responses to the interventions for 2 of 4 patients with wound measurement requirements and 2 of 3 patients with home health aide services (Patient #1, #2, #4 & 7).

The agency failed to complete and send a transfer/discharge summary to the receiving facility in 2 business days of the patient's transfer for 1 of 2 sampled transferred patients (Patient #6).

The agency failed to ensure the agency had a written policy and procedure that addressed the need to include the completion of an individualized emergency preparedness plan as part of the comprehensive assessment for each patient.

The agency failed to ensure staff provided care in accordance with accepted infection control standards of practice observed during a home visit for 1 of 3 sampled patients (Patient #2) with home visits.

The agency failed to ensure all documentation in the clinical record included a date, time, staff signature and staff title for 5 of 7 sampled patients (Patients #1, #2, #5, #6 and #7).

The agency failed to ensure accurate and timely completion of all pertinent components of the update to the comprehensive assessment within 48 hours of the agency's knowledge of return home from an inpatient facility for 1 of 2 sampled patients requiring a resumption of care assessment (Patient #4).

The agency failed to update the Plan of Care with all new physician orders for 2 of 2 sampled patients with interim orders who received therapy services for more than 1 week.

The agency failed to provide services only as ordered by the physician for 2 of 7 sampled patients (Patients #4 and #5).

The agency failed to document all required components of home health aide supervision including following the patient plan of care, maintaining open communication with patient/caregiver, demonstrating competency of all assigned tasks, complying with infection prevention and control policies…

The agency failed to ensure the patient's clinical record included accurate and specific documentation of interventions and maintained pertinent current information in the patient record for 5 of 7 sampled patients (Patients #1, #2, #4, #5 and #7).

The agency failed to complete and send a transfer summary to the health care professionals responsible for providing care to the patient while in a health care facility within 2 business days of knowledge of the occurrence of the transfer for 3 of 3 sampled patients requiring a transfer summary…