Health Choice Home Care Service, LLC

The agency failed to ensure policies and procedures were developed based on the agency- and community-based risk assessment and communication plan, resulting in the potential for an unprepared staff response in the event of an actual emergency.

The agency failed to ensure the plan of care included appropriate interventions with objectively measurable goals specific to the individualized needs of the patient in 5 (P-1, P-2, P-3, P-4, P-6) of 7 records reviewed, resulting in the potential for poor patient outcomes and unmet care needs for…

The agency failed to inform all patients that they could voice concerns/complaints at any time by calling the State of Michigan's toll-free hotline number, resulting in misleading information to enable patients or caregivers to voice complaints or ask questions.

The agency failed to ensure the initial assessment visit was completed within 48 hours of the referral in 1 (P-1) of 7 records reviewed resulting in the potential for unmet care needs.

The agency failed to ensure the comprehensive assessment was completed within 5 calendar days after the start of care in 2 (P-4, P-5) of 7 records reviewed, resulting in the potential for unmet care needs and poor patient outcomes.

The agency failed to ensure the comprehensive assessment accurately reflected the patient's current health status at the time of admission to for 4 (P-1, P-4, P-5, P-6) of 7 records reviewed, resulting in incomplete clinical information to aide in determining the needs of these patients to assist…

The agency failed to ensure the comprehensive assessment included a review of all medications to determine any potential adverse effects and drug reactions and failed to include a review of patient allergies in 3 (P-1, P-4, P-7) of 7 records reviewed, resulting in the potential for harmful…

The agency failed to ensure the comprehensive assessment was updated after hospital admission for 1 (P-1) of 1records reviewed in which the patient was transferred, resulting in the potential for unmet care needs and an inaccurate reflection of the patient’s health status.

The agency failed to ensure the skilled professionals provided services as ordered by the physician in the plan of care for 3 (P-1, P-2, P-5) of 7records reviewed, resulting in the potential for unmet care needs.

The agency failed to ensure the clinical record was complete and included detailed skilled nursing and physical therapy notes for 5 (P-1, P-2, P-4, P-5, P-7) of 7 records reviewed, resulting in lack of continuity of care and undocumented health concerns.

The agency failed to ensure skilled nursing communicated assessment findings with the physician for 1 (P-3) of 7 records reviewed, resulting in the potential for poor patient outcomes.