Hegg Home Health Care

The agency failed to ensure accurate completion of all components comprising the Plan of Care, including all medical supplies/equipment, all medications, treatments, and information related to advance directives for 3 of 7 sampled patients (Patients #2, #6 and #7).

The agency failed to notify the physician of changes in patient condition or needs that suggest an alteration to the Plan of Care for 4 of 7 sampled patients (Patients #2, #3, #4 and #5).

The agency failed to provide a complete wound assessment on a weekly basis per agency policy for 1 of 3 sampled patients with a wound (Patient #7).

The agency failed to ensure clinicians followed agency policies and procedures when assessing wounds to agency patients for 2 of 2 sampled patients who required wound assessments (Patients #4 and #7).

The agency failed to ensure the Home Health Aides (HHA) successfully completed competencies in all home health aide skills that exceed basic skills, which require a registered nurse, or other appropriate skilled professional in consultation with a registered nurse, to evaluate the competency of the…

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all supplies/equipment and medications used by the patient for 4 of 7 sampled patients(Patients #1, #2, #3 and #4).

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician, permitted under state law and/or as directed by the skilled professional assigning the home health aide to the patient for 3 of 6 sampled patients receiving home health aide services…

The agency failed to ensure a registered nurse or other appropriate health care professional completed home health aide supervision at least every 14 days for 3 of 6 sampled patients who received hands on personal care services in conjunction with a skilled service provision (Patients #1 and #5).

The home health agency failed to ensure the clinician assessed the patient's individualized needs related to emergency preparedness with each comprehensive assessment for 3 of 7 sampled patients (Patients #5, #6 and #7).

The agency failed to ensure the policy included the development of a procedure to inform State and local officials specifically of homebound patients in need of evacuation due to an emergency situation.

The agency failed to complete a written emergency preparedness plan that included procedures to inform State and local officials of any on duty staff and patients they are unable to contact in the event of an interruption of services related to an emergency.

The agency failed to ensure training in emergency preparedness to all existing staff consistent with their expected roles at the time of orientation and every other year thereafter for 4 of 8 sampled employees (Staff K, I, L and M).

The agency failed to follow a Plan of Care established and periodically reviewed by a doctor of medicine, osteopathy or podiatry or notify the physician of the need to vary from the physician ordered Plan for Care for 4 of 7 sampled patients (Patients #1, #2, #4 and #7).

The agency failed to ensure 4 of 4 sampled home health aides (Staff D, E, F and G), assigned to perform tasks requiring extra skills exceeding the level of basic home health skills for 4 sampled patients (Patients #1, #2, #4 and #5), had documented evidence of competency by a registered nurse (RN)…

The agency failed to provide agency patients with written contact information for the agency's administrator, including the administrator's name and business telephone number and address.

The agency failed to ensure accurate and thorough completion of all pertinent components of comprehensive assessments for 2 of 7 patients with a comprehensive assessment (Patients #1 and #5).

The agency failed to accurately complete a drug regimen review, including completion of all required components and identification of any findings within the required time frames as part of the comprehensive assessment for 7 of 7 sampled patients (Patients #1, #2, #3, #4, #5, #6 and #7).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including medication allergies, advance directives and/or equipment/supplies used to meet the patient's individualized needs for 5 of 7 sampled patients (Patients #2, #3, #4, #5 and #7).

The agency failed to update the Plan of Care with all new physician orders in a timely manner for 3 of 3 sampled patients with interim/verbal orders.

The agency failed to ensure home health aides provided care to agency patients only as ordered by the physician in the Plan of Care and/or as directed by the skilled professional assigning the home health aide to the patient for 4 of 6 sampled patients receiving home health aide services (Patients…

The agency failed to ensure registered nurses supervising home health aides maintained documentation of a review of all required supervisory elements including following the patient plan of care, maintaining open communication with patient/caregiver, demonstrating competency of all assigned tasks…

The agency failed to complete and send a transfer summary to the physician or other health care professionals responsible for providing care to the patient while in a health care facility within 2 business days of knowledge of the occurrence of the transfer for 4 of 4 sampled patients with…