Harmony Heights Home Health Services LLC
Inspection 2025-12-16
· Initial Certification · 12 deficiencies · CMS source report (PDF)The agency failed to ensure the ordering physician was notified of missed SN visits (see G0572), failed to obtain verbal orders prior to providing services (see G0580), and failed to ensure all verbal orders included the time the verbal order was obtained with the clinician’s signature with the…
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The Agency failed to ensure the Governing Body approved the Agency’s budget, and failed to provide establishment, oversight and active participation in the Agency’s Quality Assurance Performance Improvement (QAPI) program (see G0942), failed to ensure the Governing Body appointed and approved the…
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The Agency failed to ensure the ordering physician was notified of missed SN visits with 2 of 5 patients receiving only SN services for medication set-up every 14 days.
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The Agency failed to ensure the Governing Body approved the frequency and detail of the Quality Assurance Performance Improvement (QAPI) program.
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The agency failed to ensure their clinicians adhered to standard precautions to prevent the transmission of infections and communicable diseases through proper hand hygiene, gloving, and bag technique during 2 of 2 RN home visit observations.
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The CM failed to ensure the HHA followed the HHA POC with 1 of 3 patients who received HHA services.
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The Agency failed to ensure the Governing Body approved the Agency’s budget, and failed to provide establishment, oversight and active participation in the Agency’s Quality Assurance Performance Improvement (QAPI) program with 1 of 1 Agency.
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The Agency failed to ensure the comprehensive assessment was updated after a change in condition with 1 of 1 patient with outpatient surgical procedure (Patient #2).
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The Agency failed to obtain verbal orders prior to providing services with 8 of 10 SN services (Patients #1, 2, 4, 6, 7, 8, 9, and 10), failed to obtain orders to administer injections to 3 of 3 patients receiving injections (Patients #4, 7, and 8), failed to obtain orders to administer a glucose…
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The Agency failed to ensure all verbal orders included the time the verbal order was obtained with the clinician’s signature and date the order received with 9 of 10 patients receiving SN services (Patients #1, 2, 3, 4, 5, 6, 8, 9, and 10) Findings include: 1. A review of a policy titled ‘Verbal…
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The Agency failed to ensure the Governing Body appointed and approved the acting Administrator, the acting Alternate Administrator with 1 of 1 Agency.
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The Administrator failed to be responsible for the day-to-day operations of 1 of 1 home health agency.
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