Guardian Angels Home Health Care, Inc

The agency failed to have a signed POC or a verbal POC order from the primary physician before providing services and treatments to patients (See tag G572); failed to administer medication as ordered by the physician and failed to obtain orders for care provided (See tag G580) The cumulative effect…

The agency failed to have a signed POC or a verbal POC order from the primary physician before providing services and treatments to patients for 1 of 3 closed record reviews (Patient #4); and for 3 of 8 active record reviews.

The agency failed to provide patients with a completed written copy of the admission consent regarding non-covered services, disciplines to be furnished, and frequency of services for 2 of 4 home visits.

The agency failed to make a safe and appropriate discharge for 1 of 3 closed record reviews.

The agency failed to complete an initial assessment within 48 hours of a referral and failed to document the reason for the delayed start of care for 3 of 8 active record reviews.

The agency failed to provide treatments under the order of a physician on 2 of 11 patient records reviewed.

The agency failed to notify the physician of the patient's change in condition, affecting 1 of 1 patient discharged due to death record reviewed.

The agency failed to maintain documentation demonstrating the competency requirements for 5 of 5 HHA records reviewed.

The agency failed to ensure measures derived from OASIS and other relevant data were included in the design of its program for 1 of 1 agency.

The facility failed to ensure nursing staff appropriately followed infection control practices for hand hygiene and bag barrier technique for 2 of 4 home visits.

The agency failed to coordinate care to meet the patient's needs in a timely manner for 1 of 1 patient receiving occupational therapy services.

The agency failed to ensure Occupation Therapy follow the plan of care and conducted a comprehensive evaluation within 5 calendar days of the start of care for 1 of 10 patients receiving occupational therapy services.

The agency failed to ensure all pertinent information was included in the plan of care for 2 of 10 records reviewed.

The agency failed to effectively integrate and coordinate the care provided by an outside agency for 1 of 1 patient with Respite and respiratory therapy services.

The agency failed to coordinate care to meet the patient's needs in a timely manner for 1 of 1 patient receiving occupational therapy services.