Heart at Home Health Care of the Midwest, LLC

The Agency failed to establish the Plan based on facility and community risk assessment, utilizing an all hazards approach and develop individualized Emergency Plan for all Patients in the event of an emergency or disaster.

The Agency failed to ensure physician was consulted after evaluation visit to approve additions to the POC, and/or approve additional services provided; failed to ensure the POC was complete; failed to ensure physician orders were received prior to provision of services ; and failed to ensure…

The Agency failed to establish quality indicators, the Governing Body failed to ensure the Agency obtained quality data to identify areas of improvement, and failed to ensure a Quality Assurance and Performance Improvement plan was implemented and maintained.

The Agency failed to ensure the administrator and the clinical manager was available during the Agency's hours of operation for supervision of clinical services.

The Agency failed to ensure the Emergency Preparedness Plan was based on facility and community based risk assessment, utilizing an all hazards approach.

The Agency failed to ensure Pts. received an individualized Emergency Preparedness Plan, in the event of an emergency or disaster.

The Agency failed to conduct Emergency Preparedness staff training and testing.

The Agency failed to ensure the Agency had conducted Agency and community exercises at least annually to ensure the effectiveness of the Agency's Emergency Preparedness Plan.

The Agency staff failed to conduct, and document a complete assessment that reflects the patient's functional status.

The Agency failed to ensure the Physician was consulted after the evaluation visit to approve additions to the POC, and/or approve additional services provided.

The Agency failed to establish quality indicators.

The Governing Body failed to ensure, the Agency obtained quality data to identify areas of improvement.

The Agency failed to ensure a Quality Assurance and Performance Improvement plan was implemented and maintained.

The Agency failed to ensure that documentation entered into the clinical record was complete.

The Agency failed to ensure Agency staff obtain the patient's written consent in advance of the delivery of any care or services.

The Agency failed to ensure Pts. are advised of the extent of their financial liability for care, and/or services before care is initiated.

The Agency failed to ensure the initial assessment visit was done within 48 hours of the referral date.

The Agency failed to ensure the POC was complete.

The Agency failed to ensure physician orders were received prior to provision of services.

The Agency failed to ensure immunization screening was conducted at the time of Start of Care.

The Agency failed to ensure the OT supervised the OTA.

The Agency failed to ensure a clinical manager was available during the Agency's hours of operation, for the supervision of clinical services.

The Agency failed to ensure the administrator employed qualified staff to provide Home Health Aide services.

The Administrator failed to ensure that a pre-designated person was authorized to assume administrative duties in the administrators absence.

The Agency failed to ensure the clinical record included services and/or treatments provided, and that medications contained in the clinical record were accurate This was found in 3 of 3 (Pt. # 3, 2 and 1) home visits reviewed.