Green Pine Home Healthcare Services, Inc

The Home Health Agency (HHA) failed to meet the Condition of Participation for Comprehensive Assessment of Patients as follows: 1. The HHA failed to conduct an accurate comprehensive assessments of wounds and failed to reflect in the clinical record the current wounds status for one of 5 sampled…

This Condition is not met as evidenced by: Based on observation, interview and record review, the home health agency (HHA) failed to ensure the Condition of Participation for Care planning, coordination, and quality of care was met to ensure the physician's treatment orders were followed for three…

The Home Health Agency (HHA) failed to ensure that the Condition of Participation for Skilled Professional Services was met as follows: The HHA failed to provide education/instruction to the patient’s caregiver on the use of low air loss mattress (a mattress design to provide airflow to help keep…

The home health agency staff failed to ensure the pressure ulcers (injuries to the skin due to prolong pressure on the skin) on the left hip, mid back, and on the bilateral gluteal (buttocks) were assessed accurately to reflect current wound status, and the bilateral gluteal wounds were assessed…

The home health agency (HHA) failed to ensure the patient’s current medication profile matches the medications the patients are taking at home for two of five sampled patients (Patients 2 and 5).

The agency failed to provide wound care treatment as ordered by the physician for three of five sampled patients (Patient 1, 2 and 4).

The home health agency (HHA) failed to ensure the Skilled Nurse (SN) visit frequency in the Plan of Care was revised to provide adequate services for one of five sampled patients (Patient 1).

The Home Health Agency (HHA) staff failed to provide education/instruction to the patient and/or patient caregiver about the use of the low air loss mattress (LAL mattress) and the proper placement of the indwelling catheter drainage bag for one of five sampled patients (Patient 2).

The Home Health Agency (HHA) staff failed to communicate with the physician regarding the significant changes of the patient's wounds manifesting signs of infection that included pus, drainage, and foul odor for one of 5 sampled patients (Patient 1).

The facility failed to ensure the patient's clinical record was maintained and current in accordance with accepted professional standards of practice one of 5 sample patients (5).

The agency failed to ensure the patients received care and services as written in the POC for three of four sampled patients (Patients 2, 3, and 4), creating the risk of not providing appropriate, consistent, and quality care to these patients.

The agency failed to ensure the 2018 QAPI program was implemented as per the agency's P&P to improve health outcomes, patient safety, and quality of care, creating the risk for not addressing care problems.

The agency failed to ensure the performance improvement project was conducted, creating the risk of not addressing poor performance and care concerns.

The agency failed to ensure the clinical record was accurate and complete for two of four sampled patients (Patients 3 and 1), creating the risk of substandard care provided to this patient as the clinical information was not complete.

The agency failed to ensure the complaint resolutions were provided in writing to the patients's family members who filed the complaints for one sampled patient (Patient 1) and two nonsampled patients (Patients A and B), creating the risk of violating the patient's rights and not addressing the…

The agency failed to ensure the RN performed the initial comprehensive assessments within 48 hours of referral for one of four sampled patients (Patient 1), creating the risk of not providing necessary care and services for this patient.

The agency failed to ensure the initial comprehensive assessments were complete in a timely manner, consistent with the patient's immediate needs, but no later than 5 calendar days after the SOC date for two of four sampled patients (Patients 1 and 3), creating the risk of not identifying and…

The agency failed to ensure the review of the medications included all of the patient's current medications to identify any potential adverse effects and drug reactions for one of four sampled patients (Patient 2).

The agency failed to ensure the physician's verbal orders were dated and signed by the SN who received the orders for three of four sampled patients (Patients 1, 2, and 3), creating the risk of not providing appropriate, consistent, and quality care to these patients.

The agency failed to coordinate care related to wound for one of four sampled patients (Patient 3), creating the risk of not providing the necessary care and services to this patient.

The agency failed to ensure the skilled professionals provided care and services as written in the POC for three of four sampled patients (Patients 2, 3, and 4), creating the risk of not providing appropriate, consistent, and quality care to these patients.

The agency failed to ensure the SN had completed and accurately prepared the clinical notes for two of four sampled patients (Patients 3 and 4), creating the increased risk of substandard healthcare outcomes to these patients.

The agency's Administrator failed to be responsible for the day-to-day operations as the agency's P&P addressing the employee's physical examination and TB screening was not implemented for two employees (LVNs 1 and 2), creating the increased risk of having unqualified staff providing care to the…