Good Shepherd Home Care

The home health agency (HHA) could not provide evidence that the required in-service training of at least 12 hours during each 12-month period for 1 of 2 sampled home health aides had occurred.

The home health agency (HHA) did not ensure infection control education was provided for 6 of 7 sampled employee files.

The home health agency (HHA) could not provide evidence that the required in-service training of at least 12 hours during each 12-month period for 1 of 2 sampled home health aides had occurred.

The home health agency (HHA) did not ensure participation in HHA-sponsored in-service training for 5 of 5 skilled professionals whose personnel records were reviewed.

The home health agency (HHA) failed to provide care planning, coordination of services, and quality of care as required.

The home health agency (HHA) failed to maintain a home health-wide, data-driven quality assessment and performance improvement (QAPI) program.

The home health agency (HHA) failed to provide necessary oversight and supervision of the HHA.

The home health agency (HHA) did not have a governing body (GB) that had assumed responsibility for the overall operation of the agency.

The agency did not ensure all patient care orders, including verbal orders, were recorded in the plan of care (POC).

The home health agency (HHA) did not ensure individual emergency plan's (IEP) were developed for the HHA's patients during a natural or man-made disaster.

The agency did not ensure staff followed accepted infection control standards of practice, including the use of standard precautions, to prevent the transmission of infections while providing care, for 1 of 3 staff members who were observed during surveyor home visits.

The home health agency (HHA) did not ensure skilled professional services were delivered according to the HHA's policies and procedures.

The home health agency (HHA) did not ensure each patient's plan of care (POC) contained all the required elements for 9 of 9 sampled patients.

The home health agency (HHA) did not ensure all patient care orders, including verbal orders, were recorded in the plan of care (POC).

The home health agency (HHA) did not ensure all treatments were administered only as ordered by the physician.

The home health agency (HHA) failed to assure communication with all physicians involved in the plan of care.