Harmony Home Health

The Agency failed to maintain a current list of names and contact information in an "Emergency Preparedness Communication Plan" that included all facility staff members, patient physicians and providers, and all entities providing services to the agency under arrangement.

The Agency failed to maintain a current method of alternate communication with staff and outside agencies in the event the usual methods of communication were not available during a disaster.

The Agency failed to participate in a community-wide functional exercise at least every two years.

The Home Health Agency (HHA) failed to ensure the timely submission of OASIS (Outcome and Assessment Information Set) to IQIES (Internet Quality and Improvement and Evaluation System).

The Home Health Agency (HHA) failed to ensure the agency completed a criminal background check for one employee out of a total of 10 sampled employee records (Physical Therapy Assistant (PTA1) upon hire and prior to the employee working directly with patients.

The Home Health Agency (HHA) failed to ensure a Registered Nurse (RN) conducted a medication reconciliation during homecare visits for one of five sampled patients (Patient (P) 1) reviewed for medication reconciliation.

The Home Health Agency (HHA) failed to ensure that a physician’s order for routine central intravenous (IV) catheter line dressing changes to be performed by skilled nursing staff was in place and current for one Patient (P) P7 of a total of 10 sampled patients reviewed during the survey.

The Home Health Agency (HHA) failed to ensure physician’s orders/plan of care were reviewed and signed timely at least every 60 days by the Patient’s physician for three of 10 sampled patients (Patients (P) P1, P4, and P6) reviewed during the survey.

The home health agency (HHA) failed to monitor, manage, and maintain the equipment used to access the web-based medical record system.

The home health agency failed to complete an initial assessment within 48 hours of the referral, or within 48 hours of the patient's return home, or based on the physician ordered start of care date.

The agency failed to ensure coordination of care, and integration of services as evidenced by blank "Case Conference" forms for 2 (Patient (P5), P6) of 13 patients.

The agency failed to provide emergency preparedness training, maintain documentation of the training and ensure staff were knowledgeable of emergency procedures for 25 of 25 employees.

The agency failed to provide emergency preparedness testing, exercises or drills over the past year.

The agency failed to notify the physician of missed visits for 4 of 7 sampled patients (Patients #2, #3, #4 & #6).

The agency failed to ensure the medical record contained the most current clinical notes for 2 of 7 sampled patients (Patients #1 & #6).

The agency failed to ensure physician orders were followed for weekly wound measurements.