Heights Home Health, Inc

The agency failed to ensure the registered nurse (RN) developed home health aide instructions for patient care that were specific and individualized to the patient's needs for 1 of 2 sampled patients receiving home health aide services (Patient #3).

The agency failed to complete an accurate drug regimen review with each comprehensive assessment for 2 of 3 sampled patients with home observation visits (Patients #2 and #3).

The agency failed to ensure accurate completion of all components comprising the Plan of Care, including all medical supplies/equipment used by the patient for 5 of 7 sampled patients (Patients #2, #3, #4, #6 and #7).

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 1 of 2 sampled patients who received hands on personal care services in conjunction with a skilled service provision (Patient #3).

The agency failed to ensure the accurate completion of all components comprising the Plan of Care, including all equipment used by the patient to meet their needs and an accurate list of the patient's current medications for 1 of 3 sampled patients with home observation visits (Patient #4).

The agency failed to obtain physician orders for the addition of services provided to the patient by the home health agency for 2 of 7 sampled patients (Patient's #2 and #3).

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

The agency failed to complete a written emergency preparedness plan.

The agency failed to ensure staff provided care in accordance with agency expectations and accepted infection control standards of practice observed during a home visit for 1 of 1 sampled patients (Patient #3) with a home visit observation of contracted staff.

The agency failed to ensure the home health aides successfully completed competencies in all basic home health aide skills which require a registered nurse, or other appropriate skilled professional in consultation with a registered nurse, to evaluate the competency of the aide by written test and…

The agency failed to promptly report changes in patient's condition to the physician in order to alter the Plan of Care for 1 of 7 sampled patients (Patient #2).

The agency failed to ensure the patient's clinical record included accurate documentation of all interventions, including treatments, and services and responses to those interventions provided by the agency for 1 of 7 sampled patients (Patient #2).