Help at Home Inc

The agency failed to ensure the continuity of home health services for 1 of 2 active patient records reviewed (Patient #1) and for 2 of 3 discharged patient records reviewed (Patient #3 and 4).

The agency failed to ensure they investigated complaints made by the patient and documented in the clinical record for 1 of 2 active patient records reviewed (Patient #1) and for 2 of 3 discharged patient records reviewed (Patient # 5).

The agency failed to provide the contact information for the Quality Improvement Organization for Region IV, [Indiana is in Region IV] to the patients, with the potential to affect all patients for 1 of 1 agency.

The agency failed to ensure patients received services as ordered by the physician on the plan of care in 4 of 7 records reviewed (#1, 4, 5, and 7).

The registered nurse (RN) failed to ensure the home health aide [HHA] care plans were appropriate and specific to the needs of the patient for 1 of 6 clinical records reviewed with HHA services (Patient #2).

The agency failed to follow their agency policy and ensure the patient records, which were of paper, were secured, for 1 of 1 agency with the potential to effect all patients.

The agency failed to ensure patient's clinical records would be made available to the patient, free of charge, upon request at the next home visit, or within 4 business days (whichever comes first) for all current and future patients.

The agency failed to ensure the plan of care was accurate and reflected the most recent comprehensive assessment in 1 of 2 clinical records reviewed that received skilled nursing services (Patient #6).

The skilled nurse failed to follow the plan of care for 1 of 2 clinical records reviewed receiving skilled nursing services (Patient #6).

The agency failed to ensure patient records contained the current comprehensive assessment(s) for 2 of 5 active records reviewed (Patients #2 and 3) and failed to ensure patient records included the skilled nurse visit notes for 1 of 2 active records reviewed with orders for skilled nursing…

The agency failed to ensure staff followed infection control policies and procedures during 3 of 3 home visits (# 1, 2 and 3).

The agency failed to ensure they notified the Indiana State Department of Health in a timely manner regarding changes in the administration for 1 of 1 agency (Employee I and J).