Health Wise Home Health Care

The agency failed to maintain, review, or update the written emergency preparedness policies and procedures, resulting in the agency's inability to implement appropriate emergency actions.

The agency failed to ensure the comprehensive assessment was updated and revised in 1 (P-6) of 10 records reviewed, resulting in the potential for unmet care needs.

The Agency failed to ensure the individuals who furnished Home Health Aide services on its behalf met the competency evaluation requirements of this section by ensuring the required skills were evaluated by a Registered Nurse, who observed the Aide's performance of the required tasks for 1 of 2…

The Agency failed to ensure the patient received proper written notice (Notice of Medicare Provider Non-Coverage) in advance of the agency terminating on-going care for 2 (P-3 and P-6) of 3 discharged records, resulting in the patient being denied the right to appeal the decision to end Medicare…

The agency failed to conduct the initial assessment visit within 48 hours of referral in 2 (P-8, P-9) of 7 records reviewed resulting in the patient not receiving the ordered home health services in a timely manner resulting in a delay of needed care as ordered by the physician.

The agency failed to ensure the goals on the Plan of Care were objectively measurable to determine the patient's progress towards obtaining the goals in three (P-8, P-9, P-10) of 10 records reviewed resulting in the inability to determine the patient's progress towards obtaining the goals.

The agency failed to include documentation of needed supplies to address the patient's diagnoses of Diabetes and Wound care in 1 of 7 medical (P-10) records reviewed in which the patient required supplies to treat the patient's health conditions.

The agency failed to ensure safety precautions, individualized to the patient's identified needs with reportable parameters, and all medications and treatments were included on the plan of care for 2 (P-2 and P-5) of 10 records reviewed, resulting in the potential for poor patient outcomes and…

The agency failed to ensure visit frequencies were provided only as ordered by the physician for 2 (P-2 and P-3) of 10 records reviewed, resulting in the potential for the provision of inappropriate care and services.

The agency failed to ensure skilled nursing provided services as ordered by the physician in the plan of care for 2 (P-2 and P-5) of 10 records reviewed, resulting in the potential for unmet care needs.

The agency failed to ensure they adequately documented on-site supervisory visit to the patient's home to supervise the services that were provided by the home health aide for 1 (P-3) of 3 records reviewed in which aide services had been provided, from a total sample of 10 records reviewed…

The agency failed to ensure clinical notes were accurate for 1 (P-1) of 10 records reviewed, resulting in the potential to negatively affect the health and well-being of these patients.

The agency failed to ensure a detailed discharge summary was sent to the physician within 5 business days of discharge for 3 (P-3, P-6, and P-10) of 3 discharge records reviewed, resulting in a lack of information to ensure continuity of care.

The Agency failed to conduct a patient-specific, comprehensive assessment that accurately reflected the patient's current health status based on past medical history that included dates of onset, exacerbations, treatments and outcomes, measurable data to use as a baseline for future assessments…

The agency failed to ensure the plan of care included measurable skilled nursing goals specific to the needs of the patient, for 8 of 10 records reviewed ( MR#s 1, 2, 3, 4, 5, 6, 8, and 10), resulting in the potential for poor patient outcomes due to a lack of quantifiable measures to determine…

The agency failed to ensure a discharge summary was sent to the primary care practitioner within 5 business days of the patient's discharge for 1 of 3 (MR#10) discharge records reviewed, resulting in the practitioner not having knowledge of the patient's health status, progress towards goals, or…

The agency failed to provide occupational therapy services and master of social work services as ordered by the physician for 4 of 11 records reviewed (MR# 1, 3, 9, and 13) in which occupational therapy services were ordered, resulting in the potential for physical decline and poor outcomes for…

The agency failed to ensure the registered nurse prepared written patient care instructions for the home health aide that included a visit frequency and safety measures for 3 of 7 patients (MR# 13, 5, 6) in which aide services were provided, resulting in the potential for unmet care needs.

The Agency failed to conduct a Resumption of Care assessment within 48 hours of the patients discharge from a hospital, and assess the patient's continuing needs related to hospitalization in 1 (MR #5) of 3 records in which the patient was transferred to an inpatient facility, from a total of 13…

The agency failed to ensure the plan of care included measurable skilled nursing goals specific to the needs of the patient, for 9 of 13 records reviewed ( MR#s 1, 2, 3, 4, 5, 10, 11, 12, 13), resulting in the potential for poor patient outcomes due to a lack of quantifiable measures to determine…

The Agency failed to ensure the Home Health Aides (HHa #1 and HHa #2)) provided care in accordance with the plan of care and Physician's orders for 1 (MR #6) of 7 patients with HHa services ordered, from a total of 13 sampled records reviewed, resulting in the patient not receiving needed services…

The agency failed to ensure the discharge summaries and transfer summaries were complete, provided the patient's current health status at the time of discharge and transfer, progress toward goals, and forwarded to the physician or receiving facility in 4 (MR #2, 5, 8 and 9) of 4…