Greenbelt Home Care

The agency failed to complete a hazard risk assessment (HVA), create an Emergency Preparedness Plan (EPP) from a HVA, and formulate strategies to use for events on a HVA.

The agency failed to complete a specific home health aide care plan for foot care for 2 of 3 sampled patients with home health aide services (Patients #1 and #7).

The agency failed to complete an accurate drug regimen review with each comprehensive assessment for 2 of 3 sampled patients with home observation visits (Patients #2 and #3).

The agency failed to follow a Plan of Care established and periodically reviewed by a healthcare practitioner or notify the patient's healthcare practitioner of the need to vary from the ordered Plan for Care for 3 of 7 sampled patients (Patients #1, #4 and #6).

The agency failed to ensure registered nurses provided individualized and specific written patient care instructions to agency home health aides for 1 of 1 sampled patients receiving home health aide services and an onsite visit to the patient's home (Patients #3).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care for 2 of 8 sampled patients (Patients #3 and #6).

The agency staff failed to provide wound care treatments only as ordered by the physician for 1 of 1 sampled patients (Patient #1) with a wound.

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician in the Plan of Care and/or as directed in writing by the skilled professional assigning the home health aide to the patient for 2 of 4 sampled patients receiving home health aide services…

The agency failed to ensure the agency's emergency preparedness policy directed staff to develop an individualized emergency preparedness plan with each patient as part of the comprehensive assessment.

The agency failed to ensure the policy included the development of procedure to inform State and local officials specifically of homebound patients in need of evacuation due to an emergency situation.

The agency failed to ensure the development of a written policy and procedure to inform State and local officials of any on duty staff and patients they are unable to contact in the event of an interruption of services related to an emergency.

The agency failed to ensure contract therapy staff received training in emergency preparedness both at the start of providing services to agency patients and ongoing annually for 48 of 48 contracted therapy staff (Occupational, Physical and Speech Therapists and Therapy Assistants).

The agency failed to document the participation in an actual disaster even, any community based, tabletop, inter-facility based, regionally based or facility designed full scale disaster exercise in 2018. The agency reported a current census of 133 patients.

The agency failed to assure all clinician's followed basic infection control practices when providing care to agency patients for 2 of 4 sampled patients with home visits (Patients #1 and #3).

The agency clinicians failed to complete supervision of licensed practical nurses periodically to evaluate the services furnished to ensure the patient's needs are met for 4 of 4 patients sampled (Patients #1, #4, #5 and #8) receiving more than one visit by a licensed practical nurse during a 60…

The agency failed to provide individualized and specific written patient care instructions from a registered nurse (RN) to agency home health aides for 6 of 7 sampled patients receiving home health aide services (Patients #2, #3, #4, #6, #9 and #10).

The agency failed to ensure all clinical entry notes included a date and time and staff signature with title for 4 of 10 sampled patients (Patients #2, #3, #4 and #9).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies and equipment used by the patient to meet his/her needs, an accurate list of the patient's current medications, and measurable outcomes and goals identified for the patient for…

The agency failed to provide care only as ordered by the physician for 5 of 10 sampled patients (Patients #2, #3, #4, #7 and #9).

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 4 of 10 sampled patients (Patients #1, #2, #4 and #8).