Guardian Angels Plus Home Health

The agency failed to ensure that a patient received home health services as ordered in the individualized POC for 1 (Patient #1) of 3 discharged patient records reviewed.

The agency failed to develop and maintain an EP plan that must be reviewed and updated at least every two years for one of one EP plan reviewed.

The agency failed to electronically transmit completed OASIS (a standardized data set that measures the quality and outcomes of home health patients) assessments to the CMS system for all Medicare patients within 30 days of completing the OASIS assessment of the patient for 16.22% (714 of 4403) of…

The agency failed to measure, analyze, and track quality indicators, including adverse patient events, and other aspects of performance that enable the agency to assess processes of care, services and operations for 10 of 10 QAPI meetings records reviewed.

The agency failed to integrate services provided by various disciplines, directly or under arrangement, to ensure the identification of patient needs and factors that could affect patient safety and treatment effectiveness.

Surveyor asked why the agency’s QAPI Committee did not contain the members required by regulations and the agency’s policy.

The agency failed to provide the patient and/or caregiver with written information outlining a visit schedule including frequency of visits by home health agency staff or staff acting on behalf of the agency.

The agency failed to provide patients and/or caregiver with written medication schedule/instructions.

The agency failed provide the patient and/or caregiver with written information outlining treatments to be administered by Home Health Agency personnel and personnel acting on behalf of the Home Health Agency, including therapy services.

The agency failed to ensure the patient received the home health services written in the individualized plan of care for 1 (Patient #1) of 3 patient records reviewed.

The agency failed to ensure a reassessment was completed within 48 hours of the patient’s return home after a hospital discharge for 1 (Patient #1) of 3 patients whose records were reviewed for wound care to identify changes in care needs.

The agency failed to enforce their written policy regarding coordination of services to ensure the effective exchange of information, reporting, and coordination of services between the agency and all providers involved in the care of patients, including the PCP and contracted PT, who provided care…