Healing Hand Home Health Care, LLC

The Agency (HHA) failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status, past medical history, history of events leading to home care, baseline data for future assessments, and ascertained the patient's immediate care needs in 3…

The agency failed to ensure the clinicians followed physician orders in the plan of care (POC) for 3 records (MR# 1, 3 and 4) from a total of 7 records reviewed, resulting in the potential for unmet patient needs.

The agency failed to ensure the registered nurse (RN#1) prepared written patient care instructions alerting the home health aide (HHa) to the safety precautions that were applicable to each patient, for 2 of 2 records reviewed (MR#'s 2 and 3) in which HHa services were provided, from a total sample…

The agency failed to ensure the plan of care (POC) included all safety measures to prevent injury, and parameters for physician notification in 3 of 7 records (MR #1, 2 and 5) from a total of 7 records reviewed, resulting in the potential for negative patient outcomes.

The agency failed to have skilled nursing (SN) and physical therapy (PT) help to develop or evaluate the plan of care (POC) in 2 of 7 records (MR# 4 and 7), from a total of seven records reviewed, resulting in the potential for unmet patient care needs.

The agency failed to ensure patient records contained all pertinent documentation to provide care for, and ascertain the needs of the patients in 3 of 7 (MR#'s 4, 6 and 7) records, from a total of 7 records reviewed, resulting in the potential for unmet care needs for all patients receiving care.

The agency failed to include discharge summaries in the patient record and failed to document submission to the physician in 2 of 2 records (MR #'s 3 and 6) who were discharged from a total of 7 records reviewed, resulting in the potential for unidentified continuing health care concerns and unmet…

The agency failed to ensure the patient received services as ordered in the plan of care for 5 of 7 records reviewed (MR# 1, 3, 4, 5, and 6) (Refer to G572), the agency failed to ensure the plan of care included all pertinent medications, interventions and treatments, specific to the needs of the…

The agency failed to ensure their Quality Assessment and Performance Improvement (QAPI) program was at least capable of showing measurable improvements in indicators to improve patient outcomes, safety and quality of care in 2018 (see G642); failed to collect and monitor quality indicator data for…

The Home Health Agency failed to ensure each home health aide completed a competency testing/evaluation prior to providing services for 1 of 1 home health aide (Aide #1) (Refer to G768), the Registered Nurse (RN) failed to prepare clearly written patient care instructions and include wounds and…

The agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's past medical history and current health needs in 5 of 7 patient records reviewed (MR# 3, 4, 5, 6, and 7), out of a total of 7 records, resulting in the potential for unmet care needs.

The agency failed to ensure the patient received services as ordered in the plan of care for 5 of 7 records reviewed with services (MR# 1, 3, 4, 5, and 6), from a total sample of 7 records reviewed, resulting in the potential for unmet care needs.

The agency failed to ensure their Quality Assessment and Performance Improvement (QAPI) program was at least capable of showing measurable improvements in indicators to improve patient outcomes, safety and quality of care in 2018, resulting in the potential for poor patient outcomes for the…

The agency failed to collect and monitor quality indicator data for the Quality Assessment and Performance Improvement program; and failed to ensure the governing body approved the QAPI program's frequency and detail of data collection, resulting in the potential for poor patient outcomes for the…

The agency failed to ensure the Quality Assessment and Performance Improvement program developed a performance improvement project in 2018, resulting in the agency's inability to improve patient outcomes, safety, and quality of care for the agency's 126 patients admitted in the past year.

The Home Health Agency failed to ensure each home health aide completed a competency testing/evaluation prior to providing services for 1 of 1 home health aide (Aide #1), for a potential of having an unqualified aide providing personal care to patients.

The Registered Nurse (RN) failed to prepare clearly written patient care instructions and include wounds and dressings, and safety precautions on the aide's care plan in 1 of 2 records in which Home Health Aide (HHa) services were provided (M.R. # 2) out of a total sample of 7 records reviewed…

The Agency (HHA) failed to advise their patients of the names, addresses and telephone numbers of federally-funded and state-funded entities that serve the area where the patient resides, resulting in the potential for unmet patient care needs.

The agency failed to ensure the registered nurse identified the patient's dialysis schedule and documented the presence of a central catheter on the comprehensive assessment for 1 of 7 records reviewed (MR#5), resulting in incomplete clinical information to assist in determining the needs of the…

The agency failed to ensure the comprehensive assessments included an assessment of patient identified goals and care preferences in 6 of 7 records reviewed out of a total sample of 7 records (MR # 2, 3, 5, 4, 6, and 7), which resulted in the potential for less than optimal patient outcomes due to…

The agency failed to ensure the comprehensive assessment included all medications the patient was taking and a complete medication profile in 3 of 7 records reviewed (MR#5, 4, and 6), resulting in the potential for harmful medication effects for these patients. **Agency policy "Medication Review &…

The agency failed to ensure the plan of care included all pertinent medications, interventions and treatments, specific to the needs of the patient for 4 of 7 records reviewed (MR# 2, 3, 5 and 6) resulting in patients not receiving care specific to their individual needs and the potential for poor…

The agency failed to ensure that care and services were provided only in accordance with physician's orders for 1 of 7 records reviewed (MR# 5) in which the patient was receiving services, with a total of 7 records reviewed, resulting in the potential for inappropriate patient care and service.

The agency failed to promptly alert the physician regarding the patient's pain level in 1 of 7 records reviewed (MR#5), from a total sample of 7 records reviewed, resulting in the potential for poor patient outcomes.

The Home Health Agency failed to ensure Home Health Aide #1 provided services that were included on the care plan for 1 of 2 records reviewed with home health aide services (M.R. #2), out of a total of 7 records reviewed, resulting in unmet care needs.

The Home Health Agency failed to ensure the Aide accurately documented missed visit notes and properly reported the missed visits to the registered nurse/case manager in 2 of 2 records, in which home health aide services were provided (M.R. #2 and 7), of a total sample of 7 records reviewed…

The Home Health Agency failed to ensure a registered nurse made an annual on-site visit to observe and assess Home Health Aide #1 while performing care for 1 of 1 patient receiving home health aide services, resulting in a potential for an unqualified aide providing unsafe personal care or…

The registered nurse failed to supervise the services provided by Home Health Aide #1 and ensure the services were provided as ordered on the plan of care for 1 of 2 records reviewed with Home Health Aide Services (M.R. #2), for a total of 7 records reviewed, for unmet care needs.

The Home Health Agency failed to ensure the discharge summaries were complete with the type of services provided, the patient's condition at discharge and the patient's outcomes in meeting the set goals on the plan of care and was sent to the physician within 5 business days of the patient's…